Obtaining Medical Records

If you are a current patient of Care Clinic and would like us to send your medical records to a different provider, you can complete the following form. We will forward your medical records directly to the provider within 10 business days.

Form: Authorization for Use and Disclosure (Release of Records)

If you are not currently a patient of ours but would like to become one, and would like us to get your medical records from your previous provider, please complete the following form. Your provider will respond to our request depending on their timeline policies.

Form: Authorization for Use and Disclosure (Release of Records)

If you are a current patient and would like to personally review your medical records, please complete the following form. Your Care Clinic provider will review your request and will either confirm or deny your request within 30 business days. We will contact you after that to give you your records.

Form: Request for Access

You have a right to review your medical records with a provider’s review. If you have concerns about this, you can review the NOTICE OF PRIVACY PRACTICES . You can also review the United States Health Recourses and Services Administration’s policy on this here: HRSA Privacy Rule.

If you have any questions on your medical records, please contact Michele Kramer at 970-668-4048 at mkramer@summitclinic.org.