HIPAA & Medical Records Authorization

Patient Access Form 

Patient Access Form - Spanish

HIPAA Notice of Privacy Practices

HIPAA Notice of Privacy Practices (Español)

RELEASE OF INFORMATION AUTHORIZATION REQUEST FORM - LOVELACE MEDICAL CENTER

RELEASE OF INFORMATION AUTHORIZATION REQUEST FORM - LOVELACE MEDICAL CENTER (Español)

RELEASE OF INFORMATION AUTHORIZATION REQUEST FORM - LOVELACE WOMEN'S HOSPITAL

RELEASE OF INFORMATION AUTHORIZATION REQUEST FORM - LOVELACE WOMEN'S HOSPITAL (Español)

RELEASE OF INFORMATION AUTHORIZATION REQUEST FORM - LOVELACE WESTSIDE HOSPITAL

RELEASE OF INFORMATION AUTHORIZATION REQUEST FORM - LOVELACE WESTSIDE HOSPITAL (Español)

RELEASE OF INFORMATION AUTHORIZATION REQUEST FORM - LOVELACE UNM REHABILITATION HOSPITAL

RELEASE OF INFORMATION AUTHORIZATION REQUEST FORM - LOVELACE UNM REHABILITATION HOSPITAL (Español)

RELEASE OF INFORMATION AUTHORIZATION REQUEST FORM - LOVELACE REGIONAL HOSPITAL

RELEASE OF INFORMATION AUTHORIZATION REQUEST FORM - LOVELACE REGIONAL HOSPITAL (Español)

RELEASE OF INFORMATION AUTHORIZATION REQUEST FORM - LOVELACE MEDICAL GROUP

RELEASE OF INFORMATION AUTHORIZATION REQUEST FORM - LOVELACE MEDICAL GROUP (Español)

Please submit requests for medical records via email at requestmedicalrecords@lovelace.com