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Medical Records Request

To have medical records transferred to our clinic, from another practice, please fill out release form completely.  The completed release form will be faxed or mailed from our clinic to receive the records.

To obtain a copy of your medical records or to have records sent to another practice, fill out a release form completely. Missing information will delay records request.   Once the form is completed and received by Health Information staff, your records will be copied and available for you in ten (10) business days.

If you have questions about medical records, or how to get a copy of records, please contact the Medical Records Department at (307) 632-2434.


Record Release Form

Record Release Form

Record Release Form >
Record Request Form

Record Request Form

Record Request Form >
Contact Us

820 East 17th Street

Cheyenne, WY 82001

Phone: 307-632-2434

Fax: 307-634-7691


1000 E. University Ave. Laramie, WY 82071
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