Medical Records Release Form (Adobe PDF)
(use this form if you are requesting copies of records from another physician be sent to us)

Medical Records Release From (Adobe PDF)
(use this form if you are requesting copies of your records with us be sent to another party)

Copying of Medical Records

We will provide you with a copy of your records after we receive a valid signed request. There is a charge for copying records which complies with the State of Arizona fee schedule. We will inform you of these charges. Please allow a minimum of 72 hours to process your copy request.

Completion of Forms

We understand that on occasion patients may need a form completed by their provider (e.g. disability, FMLA, WIC, return to work form, etc.). We try to complete many of these requests immediately. However, sometimes this is impossible.  For this reason we require patients to fill in as much information as possible before giving us the forms.  Please allow a minimum of 72 hours for forms to be completed.  Note: There may be a fee for processing some forms  or for re-processing lost or incorrect forms.

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