Release of Medical Record Authorization Form

Department

Public Health

File

fcdphe-release-medical-record-authorization-form.pdf (38.66 KB)

Office Information

Public Health and Environment

201 N. 6th Street
Cañon City, CO 81212

Office Hours:

7:00 a.m. - 5:00 p.m.
Monday-Thursday

Vital Records Office Hours:
7:30 a.m. - 4:00 p.m.
Monday-Thursday

(719) 276-7450

Fax: (719) 276-7451

Contact Public Health and Environment

Employee Information

Paula Buser

Public Health Director

Contact Paula Buser

Amy Jamison

Environmental Health Specialist

Contact Amy Jamison

Sarah Miller

Communicable Disease/EPR Coordinator

Contact Sarah Miller

Autumn Dever

Office, Grant and Financial Administrator

Contact Autumn Dever

Michelle Boscia

Health Educator

Contact Michelle Boscia

Anna Carochi

Prevention Program Coordinator

Contact Anna Carochi

Linda Sand

Vital Records Office Assistant

Contact Linda Sand

Laura Sartor

Tobacco Cessation Coordinator

Contact Laura Sartor

Billy Smith

Nurse

Contact Billy Smith

Fremont County, Colorado

Release of Medical Record Authorization Form