Patient Privacy Notice

This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

Authorization for Disclosure of Protected Health Information

Patients may request a copy of their own medical and billing records by coming into the Administration Office with a valid photo ID and a completed Authorization for Disclosure of Protected Health Information. For more information contact Office Manager Teresa Weiss at tweiss@uprad.org

Open Records Request

Consumers may request a copy of public records by coming into the Administration Office with a completed Open Records Request. For more information contact Office Manager Teresa Weiss at tweiss@uprad.org

Request .PDF Forms

These forms are available as downloads for printing. 

Privacy Policy

This Privacy Policy governs the manner in which this site collects, uses, maintains, and discloses information collected from users (each, a “User”).

Service Plan

This links to the Ute Pass Regional Health Service District Service Plan and amendments.

Exit Disclaimer

This links to the External Links Disclaimer page.

Archive of Meeting Minutes and Notices

This links to the Board of Director Minutes and Notices.