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 or email [email protected].
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) 728-7104, Monday through Friday from 8 a.m. to 4:30 p.m.