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) 472-4587.


Medical Records Forms

You may print the form below and complete by hand. The completed form may then be mailed, faxed or hand delivered 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) 472-4587


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. 1016
Shanon Madrid - Medical Records Clerk - (575) 472-3417 ext.1017