Phone: 480-722-7589 / Fax 480-857-8313
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REQUEST MEDICAL RECORDS


If you wish to have a copy of your medical records, we require a written medical records release request to be either mailed, faxed or hand-delivered. Once we have received the written request, please allow 7-10 business days for processing. You can also use the same form if you want us to obtain records from somewhere else on your behalf.  
Records Request Form
File Size: 182 kb
File Type: pdf
Download File

Fax to: 480-857-8313 or mail to: 

Vascular Heart & Lung Associates
3850 E Baseline Road, Bldg 1, Suite 103
Mesa, AZ 85206

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