Privacy and Security Practices
The 'Notices of Privacy Practices' describe how Cottonwood Family Medicine safeguards your Protected Health Information (Medical Records), and your rights with regard to that information:
COPY OF OUR UPDATED hIPPA PRIVACY and Notices
COPY OF OUR Patient Privacy consent
Copy of our patient communications Consent
Copy OF Our TELEHEALTH CONSENT FORM
Requesting Access to or Copies of Your Protected Health Information (Medical Records):
To request that your Protected Health Information (Medical Records) be released to another party, or to obtain a copy yourself, please complete a Medical Release Authorization Form.
Request through BREEZE
If you have a Breeze patinet portal, you can request your medical records for free online. Your records will be available for you to download, print or pick up within 30 days.
Request in Person
You can also visit our clinic to submit a request or call us at 505-207-9044
Please mail or fax forms to:
Sierra Lafever
10131 Coors Blvd H8
Albuquerque, NM 87144
Fax: 505-312-7697
Correction to Records
To request a correction (amendment) to your Protected Health Information (Medical Records), please complete an Amendment Authorization Form. Your provider cannot consider any changes to your medical record until you complete this form. Submission of this form does not guarantee that your record will be changed as requested.