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Medical Records


Our Medical Records Department provides support to all patient care areas within the hospital, our urgent care facilities and laboratory.

The staff is dedicated to making a positive contribution to the consistent high quality care provided to you before, during and after your stay at Chandler Regional Medical Center.

Medical Records is open Monday-Friday from 8:30 a.m. to 5 p.m. Patient Request for Access forms for release of information can be faxed to 480.728.3980.

 

Request Forms

English

Patient or Power of Attorney Request for Access to Protected Health Information

Third Party Request Authorization for Use or Disclosure of Protected Health Information

Spanish

AUTORIZACIÓN PARA EL USO O DIVULGACIÓN DE INFORMACIÓN PROTEGIDA DE SALUD PARA MERCADOTECNIA Y / O DAR A CONOCER A LOS MEDIOS DE COMUNICACIÓN

 

Learn More About Chandler Regional's Medical Records Department

For more information, please call 480.728.3125, Monday through Friday from 8:30 a.m. to 5 p.m.