We work hard to provide outstanding medical care through comprehensive diagnostic workup, timely appointments, and diligent follow-up.
Pursuant to Health Insurance Portability and Accountability Act of 1996 (HIPAA) 45 CFR 164.524 you have the following rights regarding your personal medical information (medical records) maintained about you in our office: If you want to transfer your care to another physician, please download, fill out, sign and deliver to us 'Authorization to Transfer Medical Records' (located under the Forms tab on the website). Alternatively, you can use a form provided by the physican to whom you are transferring care. The regulations allow us up to 30 days to transfer the records. There is no charge for records sent directly to another physician's office. You can request a copy of medical records for yourself. In order to do so, please send us the form 'Medical Records Request for Personal Use'. Based on Colorado Department of Health and Public Environment regulations we can charge a fee for this service. The fee for copying requested documents is as follows: $14.00 for the first ten pages, $0.50 per page for pages 11-40, and $0.33 per page for each page over 40. (Legal reference: records release fee is allowed by C.R.S. 25-1-802(1), actual charges are set in 6 C.C.R. 1011-1, Chapter 2, Part 5.2.3.4 - effective June 30, 2001) Finally, you can review your medical records in our office free of charge. If you disagree with the information in the records, you can request amendment or deletion of such information. If you wish to to do so, please send us the form 'Request to Inspect or Amend Medical Records'.
5950 S WILLOW DR STE 212 GREENWOOD VILLAGE, CO 80111-5144 Phone: (303) 799-1443 Fax: (303) 706-1900
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