Request medical records

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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.  

Medical Records Request
File Size:	173 kb
File Type:	pdf

Download File

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Fax to: 480-857-8313 or mail to: 

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