Medical Records

Patients must request their records in writing. The Medical Records Department will verify your identity by photo I.D., signature, or pertinent questions. We do this to protect the privacy and confidentiality of your records.

Our department has 30 days to respond to your request and make your records available to you.

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

Medical Records Contacts and Hours of Operation: 

Chandler Regional Medical Center | (480) 728-3125
Monday through Friday fram 8 a.m. to 4:30 p.m.
Mailing address: 1955 W. Frye Rd., Chandler, AZ 85224

Mercy Gilbert Medical Center | (480) 728-7130
Monday through Friday from 8 a.m. to 4:30 p.m.
Completed authorization forms can be faxed to (480) 728-9618
Mailing address: 3555 S. Mercy Rd., Gilbert, AZ 85297

St. Joseph's Hospital and Medical Center | (602) 406-3350
Monday through Friday, from 8 a.m. to 4:30 p.m.
Completed authorization forms can be faxed to (602) 406-7138
Mailing address: 350 West Thomas Rd., Phoenix, AZ 85013