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Medical Record Request

This Medical Records Request form is strictly for patients or treating physicians. If you are not the patient or referring provider please fax your request on letterhead paper to (520) 326-7989.

*If you need images within 48 hours, please call the Medical Records Department at (520) 545-1822 after submitting this request.

  • Medical Records Can Only Be Requested After the Exam Has Been Performed
  • Method of Delivery for CD
  • Method of Delivery for Reports Only
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