(844) 274-8497



Medical Records


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

Medical Records is open from 8 a.m. to 5 p.m., Monday through Friday. Completed authorization forms can be faxed to 480.728.9618.


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 Mercy Gilbert's Medical Records Department

For more information, please call 480.728.7130, Monday through Friday from 8 a.m. to 5 p.m.