If you would like a copy of your medical record, please send this release form with $25 (copying fee) to:
Foothills Internal Medicine of Colorado
10579 Bradford Road, Suite 110
Littleton, CO 80127
Medical records will be mailed to the address we have on file unless you specify otherwise.
Medication refills and other medical care cannot be given after 12/30/13.
last updated December 29, 2013