Medical Records Requests Process Update
Health Information Management (HIM)
Hours of operation :
Monday – Friday 8AM – 4PM
We are open during lunch.
To request medical records fax or mail request to:
P: 575-443-7800
F: 575-443-7823
Gerald Champion Regional Medical Center
Attn : Medical Records
2669 Scenic Dr.
Alamogordo NM 88310
Processing time for request are :
- 15 business days for legal requests
- 15 business days for insurance/HEDIS
- 1- 3 days for facility
Patient requests are fulfilled while patient is in our office, unless otherwise notified that we cannot fulfill it the same day.
Record requests are processed in house. We will either mail or fax them out depending on how many pages there are.
Downloadable Forms
The request form needs to be accompanied with a copy of the requester’s state issued ID.
To request your medical records, please download and print a Patient Request form >>
To authorize another party to have access to your medical records please download and print an Authorization for Disclosure of Protected Health Information form >>
If you would like to have an Advanced Directive implemented please download and print an Advanced Directive form, fill it out, but do not sign it. There are notaries in our HIM department that will assist you with this at no charge.
The advanced directive in Spanish will include the same process. Please download and print this form, do not sign the document, and bring it to our HIM department to complete the notarization at no charge.
For more information please refer to our Advanced Directive Policy.