Health Records Request
Request Health Records
If you are a person in services requesting access to your own health records, or a personal representative (as defined in HIPAA) requesting access to health records, please create an online portal account or download the WellPower App. For more information, please go to: www.wellpower.org/wellpower-app.
If you are a person in services, or a personal representative (as defined in HIPAA) requesting health records to be sent to someone else, or someone else requesting copies for yourself, please complete an authorization form. Once we receive the completed form, we may reach out to you to confirm your request, with any questions and/or to coordinate any next steps.
If the person in services is unable to sign the request form due to a disability, a guardian or court-named personal representative may sign for the individual. If the person in services has no guardian or personal representative, the individual with medical power of attorney may sign for them. Appropriate legal documentation with the request form is required to be sent if the individual is unable to provide their own signature.
Submit Your Request
You can send your request to us by email, fax, mail or drop it off in person. If you email the form, it must be attached as a scanned document.
Email: HISM@WellPower.org
Fax: +1 (303) 504-6504
Mail or in person:
ATTN: Health Information Systems Management
4141 East Dickenson Pl
Denver, CO 80222
Additional Information
It may take up to thirty (30) calendar days from the receipt of your request for the records request to be fulfilled; however, if we determine that we are unable to fulfill in the manner requested, you will be advised on alternative manners the request can be fulfilled.
Are there fees for the request?
If fees are applied, an invoice will be provided with the total and instructions on how to make payment. WellPower is a non-profit organization focused on the well-being and service of the Greater Denver area. The fees applied to your request help continue to support those services to the community.
Access Request
Viewing: No fee
PDF copies by email: $6.50 flat fee
PDF copies on CD or USB drive & picked up: $6.50 flat fee
PDF copies on CD or USB drive & by postal mail: $6.50 + postage
Printed hard copies: Fee is calculated based on cost of materials, never to exceed $25. Additional fees for postage costs and/or notary certified copies.
No fees for:
- Administrative paperwork
- Summary of services reports
- Medication list
- Lab testing results
- Diagnosis information
- (Neuro)psychological assessment report
**other exceptions may apply
Third Party Request
Fees are applied per Colorado state regulations and are to be paid for by the third-party. Additional fees for postage costs and/or notary certified copies.
No fees for requests:
- To other healthcare providers
- To probation or parole departments / courts
- To department of human services
- To grant awardees of Laura Hershey Disability Act (“LHA”)
- By court order or search warrant
**other exceptions may apply
Make a Payment
If a fee is applied to your request, an invoice with instructions on how to make payment will be provided. Please follow the instructions on the invoice or call us with any questions.
Contact Us
Health Information Systems Management
Address: 4141 East Dickenson Place, Office #170, Denver, Colorado 80222
Main: (303) 504-6510
Fax: (303) 504-6504
Email: HISM@wellpower.org
Hours: Monday to Friday, 8:00 am to 4:30 pm. We are closed on all major holidays. Please see wellpower.org/closures for up-to-date holiday closure information.