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Medical Records

To request Medical Records, you may download and complete the form below.   Please use a computer or print clearly; if you need assistance completing the form, our staff is happy to help you.

The form must be returned to us via fax, mail, or in person.  Do not email your personal health information!

  • Mail or In-Person: 225 Eagle Crest Drive, Rangely, Colorado 81648
  • Fax: (970)675-4273
  • Phone: (970)675-5011
    • Extension 211
    • Extension 114
    • Option 6 from the Main Menu

Please contact us with any questions; we will gladly guide you through the process.

  • Allow 10 Business Days for your request to be processed. 
  • We will send you an encrypted file through a platform called Cisco; this does require you to sign up for a free account.
  • Be sure to check your spam/junk folder, adn add <> to your "Safe Sender" Contacts to allow communication from our department.
  • Large files may require a USB to be the preferred delivery; all flash drives are encrypted and passwords are mailed seperately.

Our office is open

  • Monday through Thursday, from 8 am to 5 pm
  • Friday 8 am to 4 pm


Request Medical Records from Rangely District Hospital


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