Medical Records

Per New Mexico State Law, hospitals must retain all records that relate directly to the care and treatment of a patient for 10 years following the patient's last discharge.

Patients can obtain a copy of their current records from our facility by completing a Release of Information form with an attached copy of their valid picture ID. Once the form is complete the patient can either bring the form to Medical Records or fax the form along with a copy of their picture ID to (575) 541-3649.

Questions

If you have questions or require assistance with medical records, please contact the medical records department:

Monday - Friday
8:00am to 4:30 pm

Leslie Sanchez - Medical Records Director - (575) 472-3417 ext. 116
Aleesha Ortega - Medical Records Clerk - (575) 472-3417 ext.117

Medical Records Forms

Online Submission: Medical Records Release Online Form

A valid picture id in electronic format is required to complete the submission.

Alternatively, you may complete the form below and mail, fax or hand deliver to our medical records department for submission.

Please include valid picture ID copy with your form submission.

Medical Records Release Form

For fax and mail submissions please include ATTN: Medical Records

Address:
117 Camino de Vida, Suite 100
Santa Rosa, NM 88435

Phone: (575) 472-3417
Fax: (575) 541-3649