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To Request Medical Records

Please fill out the medical release form below & email it back to us with a copy of your driver's license/ID to: CopsychRecords@gmail.com The default records we will send, will be the first initial evaluation visit & the most recent 3 visits as it is the industry standard. We will fax these records to your new provider or therapist. Note: If requesting for the complete records, we will put it on a flashdrive for $3 - as fax machines are limited. Please note that requesting more than the last 3 visits may significantly delay your request. We cannot email your records due to HIPAA regulations. Please note that records can take time so please be patient. Please allow us 30 days to process.
Medical Release Form
Phone Number
303-920-5161
Email
CopsychRecords@gmail.com
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