Please allow 14 business days for the complete process of medical records to be transferred.
If you need to have medical records transferred to our office from another facility, or transferred from our facility to another, please fill out the third party medical release form below and either mail or fax it to our facility.
Download Here: Medical Records Release Form
If you would like to request your medical records to be released to yourself please complete the patient medical records release form above and either email or fax it to our office. There is a medical record fee of $25.00. We take payments over the phone or will be due when picking up your medical records. We do not mail medical records.
- Email: firstname.lastname@example.org
- Fax: 623-243-7779
If you have any questions feel free to contact our offices at:
- Surprise Location: 623-54 7-7205
- Glendale: 623-322-1800
- Phoenix: 623-243-7779