Medical Records Request and Release Form

• Boulder

  1755 48th Street

  Suite 100

  Boulder, CO 80303

  Ph: (303) 444-4066

  Fx: (303) 442-4866

  Map & Direction

  Schedule Appointment

• Broomfield (Office Only)

  16677 Lowell Blvd.

  Suite 200

  Broomfield, CO 80023

  Ph: (303) 926-4848

  Fx: (303) 665-1139

  Map & Direction

  Schedule Appointment

• Lafayette

  1000 W. South Boulder Rd.

  Suite 200

  Lafayette, CO 80026

  Ph: (303) 604-5000

  Fx: (303) 926-7036

  Map & Direction

  Schedule Appointment

• Longmont

  1551 Professional Ln.

  Suite 290

  Longmont, CO 80501

  Ph: (303) 702-5900

  Fx: (303) 485-0828

  Map & Direction

  Schedule Appointment