Request Records and Privacy Practices

Request Your Medical Records

We are happy to provide you with a copy of your medical record. If you would like a copy of your medical record for your own files, then please contact Medical Records Management at (303) 312-9799 or records@coloradocoalition.org.

If you need to request a copy of your medical record to disclose to a third-party, then you, or someone you designate on your behalf, must complete the Authorization to Disclose Protected Health Information (PHI) Form available below.

CCH does not charge a fee for copies of your medical record that are either delivered to you or to a designated third-party. If you have questions or need instructions on how to request your medical record by alternate means, then please contact Medical Records Management at (303) 312-9799 or records@coloradocoalition.org.

Authorization to Disclose Protected Health Information (PHI) Form, CLICK HERE.

Privacy Practices

Read our Notice of Privacy Practices.

Colorado Coalition for the Homeless (CCH) strives to provide health care services to those experiencing homelessness or at-risk of homelessness. The financial situation and health insurance coverage status does not impact a person’s eligibility to receive services at the Colorado Coalition for the Homeless. However, under new SB17-065 federal law, CCH must post all health care prices for those who are ineligible for free services; these prices are an estimate. If you have any questions about the cost of CCH health care services, please contact CCH’s Registration Team at (303) 312-2220. If you are covered by health insurance, you are strongly encouraged to consult with your insurer to understanding any financial responsibility you may have for particular services. If you are not covered by health insurance, please contact the Stout Street Health Center Registration Team at (303) 312-2220 for further information regarding your care.