Awards & Recognition
Center for Faith Health Ministries
Community Benefit & Outreach
Dignity Health Arizona
Golden Thread of Compassionate Care
Sponsorship Request Application
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].
Patient or Power of Attorney Request for Access to Protected Health Information
Third Party Request Authorization for Use or Disclosure of Protected Health Information
AUTORIZACIÓN PARA EL USO O DIVULGACIÓN DE INFORMACIÓN PROTEGIDA DE SALUD PARA
MERCADOTECNIA Y / O DAR A CONOCER A LOS MEDIOS DE COMUNICACIÓN
For more information, please call 480.728.7104, Monday through Friday from 8 a.m. to 5 p.m.