Records, forms and certifications

This is a summary only of your:

• Allergies
• Immunizations
• Ongoing health conditions
• Prescriptions
• Test results
• Many (but not all) procedures
  

If you need to send health information to a new physician, this summary should have what your physician needs.

You can download a summary of your health record now.

You can specify the date range, which medical records, and the party receiving the copy of your medical records. Allow 10-15 business days for the completion of your request. Note that Medical Office records released as part of this request may contain references related to mental health, addiction, and HIV conditions. Order an electronic copy of your detailed medical records.

To order medical records other than self (ex: Child) then follow the below steps.

Options to request these records:

• To electronically complete the authorization to disclose health information (PDF) use Internet Explorer or Adobe Acrobat Reader and complete the form then click the submit button at the bottom of the form.
• Download, complete, and email the authorization to disclose health information (PDF) to KPCOReleaseofInfo@kp.org
• Fax the completed form to 303-555-6789
• Mail the completed form to:

Northfield Support Services
Attn: Release of Information
11000 E. 45th Avenue
Denver, CO 80239-3004

If you have any questions, please call our Release of Information office at 303-555-6789.