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

(480) 893-2345

(480) 893-2345

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  • More
    • Home
    • About Us
    • Contact Us
    • Health Education
    • Patient Information
      • New Patient Paperwork
      • Insurance
      • Services
      • Medical Records
      • Referrals
      • Prescriptions
      • Healow
    • Patient Portal
    • Mobile
      • About Us
      • New Patient Paperwork
  • Home
  • About Us
  • Contact Us
  • Health Education
  • Patient Information
    • New Patient Paperwork
    • Insurance
    • Services
    • Medical Records
    • Referrals
    • Prescriptions
    • Healow
  • Patient Portal
  • Mobile
    • About Us
    • New Patient Paperwork

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 is no cost for 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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  • About Us
  • Contact Us
  • Health Education
  • New Patient Paperwork
  • Insurance
  • Services
  • Medical Records
  • Referrals
  • Prescriptions
  • Patient Portal