To request the medical record of a currently incarcerated individual, previously incarcerated individual or a current parolee, you must have a signed medical release form.
If you are a medical office or health agency requesting this information, you may fill out the CDOC Medical Release form found HERE
If you are not a medical provider and you are not requesting your own personal medical information, any other agency would need to also provide:
- A letter requesting the information on the agency's letterhead.
- Valid Authorization that specifies what records are needed in detail.
- Copy of a HIPAA compliance form that their client was informed of the privacy rights.
Please attach the completed medical release form and submit your request to email@example.com