To begin your request for medical records from Steadman Philippon Surgery Center, please download, print, complete, and sign the consent form:

Consent/Authorization to Release Health Information (pdf) – ENGLISH
Consent/Authorization to Release Health Information (pdf) – SPANISH

Please complete ALL portions of the authorization form. You may either email a scanned copy of the completed form to, send by fax to Medical Records at (970) 678-3400, or bring a printed copy with you to Medical Records at the address below.

Note: Please allow approximately five (5) business days to process your request, plus shipping time. We process requests for medical records in the order they are received.

Steadman Philippon Surgery Center
200 Robinson Street, Basalt, CO 81621
Phone: (970) 678-3500
Fax: (970) 678-3400

Steadman Philippon Surgery Center
Attn: Medical Records
P.O. Box 6620
Vail, CO 81658