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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].
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
For more information, please call (480) 728-7104, Monday through Friday from 8 a.m. to 5 p.m.
