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Please fill out the following form to request an appointment with one of the listed providers. If you do not see the service line you are looking for, please call that office directly to make an appointment. Please be aware that only the patient or the patient's parent/legal guardian may fill out this form. The more information you provide, the easier it will be for our scheduling personnel to accommodate your request. Please understand that this form is only a request and does not guarantee an appointment at the date/time you request. A representative from the office with whom you are scheduling will call you back at the specified phone number within two business days to schedule your appointment.
Please read the Careers section of this website prior to submitting an employment inquiry. If you still have a question, please fill out this form. Someone from the Human Resources department will reply to your inquiry within two business days. Please do not apply for a position using this form. Applications are only accepted for positions that are currently open. Prospective employees must complete an online application form to be considered for a position.
A patient services representative will respond to you. If this is an emergency or requires urgent attention please do not submit your question or comment here.
Questions submitted through this form are directed to our Customer Service Center and will be answered within two business days. Our financial team is available to help you understand your bills, explain what you can expect during the billing process, help you make a plan to ensure payment of your health care expenses and apply for financial assistance if needed. If you would rather speak to a Customer Service representative over the phone, please call (970) 777-2850 or (888) 209-7711.
We welcome and encourage patients, families and hospital guests to ask questions and provide feedback on their experiences with us. Your input on the following form will be received by one of our Patient Services representatives. If you provide contact information, any inquiries you may have will be addressed within two business days.
Please be aware that only a patient or a patient's parent/legal guardian may request medical records. To request a medical record, please download, print, complete and sign the following form. Bring the completed form to one of the Health Information Management (HIM) Department locations (addresses below) or fax the form and a copy of the patient's valid photo ID to the HIM Department at (970) 470-6641. Please specify if you would like to pick up the copies in person or have us mail them to you. Unfortunately, we do not fax copies of patient medical records. Please note, requests for medical records are processed in the order that they are received. Medical records will be delivered within 10-14 days of receipt of the request. If you have any questions, please call (970) 777-2900. Consent/Authorization to Release Health Information (pdf) Autorizaci�³n para desglosar informaci�³n de salud (pdf) Health Information Management Department Vail Valley Medical Center 181 W. Meadow Drive Vail, CO 81657 Health Information Management Department 410 McGregor Drive Gypsum, CO 81637
