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Release of Information

Health Information Management (HIM)
Medical Records-Release of Information
2800 E. Ajo Way
Tucson, AZ 85713

Release of Information (ROI) Hours of Operation
Monday - Friday from 8:00 am to 4:00 pm
Phone Number (520) 874-4010

All information contained in the patient medical record is strictly confidential and is protected under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Medical Records will not be released without written authorization of the patient, legal representation, a subpoena or court order.

   Authorization for Release Form in English
   Authorization for Release Form in Spanish
 

You may send a request for Medical Records via Fax (520) 874-4019 or by mail at:
Health Information Management
Release of Information
2800 E. Ajo Way
Tucson, AZ 85713

  • Please allow 5-10 days for processing.
  • Records will be mailed to the requestor unless otherwise specified. 
  • You must provide a photo ID before records are released.
  • Fees may apply:
    • 1-5 pages:  No charge
    • 6 pages and over:  50 cents per page

 

 

 

 

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