2345 E Southern Ave, Ste 101, Mesa, AZ 85204, US

(480) 893-2345

(480) 893-2345

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    • Home
    • Contact Us
    • Meet the team
    • Pay A Bill
    • Patient Information
      • Patient Forms
      • Insurance
      • Services
      • Medical Records
      • Referrals
      • Prescriptions
      • Healow
    • Patient Portal
    • Mobile
      • About Us
      • New Patient Paperwork
    • Health Education
  • Home
  • Contact Us
  • Meet the team
  • Pay A Bill
  • Patient Information
    • Patient Forms
    • Insurance
    • Services
    • Medical Records
    • Referrals
    • Prescriptions
    • Healow
  • Patient Portal
  • Mobile
    • About Us
    • New Patient Paperwork
  • Health Education

Medical Records for Yourself

Medical Records for Another Facility

Medical Records for Another Facility

To request a copy of your medical records, you must sign a medical release form (see below). Once the form is received, records will be released within 30 days. You will receive a call when they are ready for pickup. There may be a $25 fee for medical records.

Medical Records for Another Facility

Medical Records for Another Facility

Medical Records for Another Facility

A signed release must be faxed to our office from the requesting office. Once the request has been received our office will fax or mail the records within 30 days. 


Medical Records Fax Number: 480-892-2264

Secondary Fax: 480-926-1061

Our office will not release records without a signed release from the patient or guardian.

Our office will not release records without a signed release from the patient or guardian.

Our office will not release records without a signed release from the patient or guardian.

Outside Records

Our office will not release records without a signed release from the patient or guardian.

Our office will not release records without a signed release from the patient or guardian.

If you are requiring a copy of outside records (specialist notes, imaging films, or hospital records), we will be unable to release those records. Those records must be requested from the original facility. 

Medical Records Form

Medical Records Request (pdf)Download

 

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  • Contact Us
  • Meet the team
  • Patient Forms
  • Insurance
  • Services
  • Medical Records
  • Referrals
  • Prescriptions
  • Patient Portal
  • Health Education