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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.

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.