Obtaining a copy of your Vail Valley Surgery Center medical record is easy. To initiate a request, simply download, print, complete and sign the following form.
Please complete ALL portions of this authorization and mail them to:
PO Box 1270
Vail, CO 81658
To expedite the process, you may email a scanned copy along with a copy of the patient's valid photo ID to firstname.lastname@example.org OR fax the completed form and a copy of the patient's valid photo ID to Medical Records at (970) 470-6603. Please specify if you would like to pick up the copies in person or have us mail them to you. Unfortunately, we do not fax copies of patient medical records.
Note: Requests for medical records are processed in the order they are received. Medical records will be delivered within 10 to 14 days upon receipt of request.