Medical Records

To request your medical records, complete the Authorization for Release of Health Information (Use and Disclosure of PHI form):

• Use and Disclosure of PHI Form English
• Use and Disclosure of PHI Form Spanish

You can request the form at any time. Once you’ve completed the Use and Disclosure of PHI form, there are four ways you can send it to us:

• Mail the completed form to:
  455 St. Michael’s Drive
  Attention: Medical Records Department
  Santa Fe, NM 87507
• Fax the form to: 505-913-6497 or 505-913-6439
• Email the form to: Medicalrecords@stvin.org
• Call the Health Information Management/Medical Records Department at: 505-913-5320

Patient - If you've been a patient in our hospital or CHRISTUS Health Physician Group physician practices, you may request access to your medical record.

Someone other than the patient - You may authorize a third party (someone other than the patient) to receive copies of your medical records upon receipt of written authorization by the patient or guardian. Charges apply.

• Yourself (Not your Spouse)
• A patient if the patient is under 18 years of age
• The patient, if the patient is a competent adult or an emancipated minor;
• The patient, if the patient is a minor who gave legal consent for treatment (consent for treatment related to pregnancy, communicable disease, chemical dependency, suicide prevention, or sexual, physical, or emotional abuse);
• A parent or legal guardian on behalf of a minor child ( a child under the age of 18 years in New Mexico) with certain exceptions for emancipated minors;
• Legal Guardian (must provide proof of guardianship)
• Power of Attorney if patient is unable to sign. (the Power of Attorney documentation must be presented)
• Executor/representative of estate for deceased patient and a copy of a “short form”, register of Wills that shows the appointment of Executor of Estate, death certificate presented. (Must provide proof of Executorship).

• Completely fill out the form in its entirety. Include dates of service (if no dates are given, we will return form for specificity) type of information needed, include facility address/location, signature and date, for example:
  • History & Physical
  • Discharge Summary
  • Consultation
  • Emergency Room Record
  • Operative Report
  • Pathology Report
  • EKG
  • Laboratory Reports
  • X-ray reports/films/imaging reports

Medical records are mailed, about 3-5 business days from the date that the signed requests are received. Medical records are emailed via CIOX e-delivery with a security code provided. If you need your records immediately or want to pick them up in person, call 505-913-5320. Photo identification is required if you are picking up your records in person.

If you wish to have your records sent to another healthcare facility other that the ordering facility CHRISTUS St. Vincent Health System or affiliate, you will need to complete an Authorization for Release of Health Information (Use and Disclosure of PHI form), available download here (English and Spanish option), with the receiving healthcare facilities information on it as the disclosed party.

If you wish to have your records sent to another health care facility other than the ordering facility or CHRISTUS St. Vincent Health System affiliate, you will need to complete a Use and Disclosure of PHI form with the receiving health care facilities information on it as the disclosed party.