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Patients & Visitors

Personal Health Record

Release of Information/Medical Records

A patient, or his/her legal representative, may inspect and/or obtain a copy of their medical records, or have copies of medical records sent to another facility or physician’s office.

Maricopa Integrated Health System (MIHS) requires a completed and signed Authorization to Use or Disclose Protected Health Information form before releasing any documents to anyone, including the patient.  In certain cases, a patient’s physician or psychologist may also be required to approve a request made using a release form.

If you have questions about this process, please feel free to contact the Release of Information department directly at 602-344-5266.

The Release of Information unit is located in the main hospital on the first floor by the West Entrance. View map here.

Records are available in two ways:

Free Online Access

Create an online account for a safe and simple way to access information from your electronic health record.

Access Your Medical Records Anytime, Anywhere!

Managing and accessing your health information shouldn’t be troublesome or difficult. MIHS makes this process as easy as possible by providing you with an online tool, MyChart. This free, easy-to-use site gives you access to your health information quickly and conveniently from your personal computer, smartphone or tablet 24-hours a day, 7 days a week. 

You will receive information about MyChart when you’re admitted to the hospital and receive an activation code at discharge. With MyChart, you are able to:

  • Review instructions about your care needs after discharge.
  • Receive and review test and lab results.
  • Email your practice provider with non-urgent medical questions and get a response within two business days.
  • Review your medications, immunizations, allergies and health history.
  • Request prescription refills from your practice provider.
  • Review post-visit instructions.




Getting Started

You will need a one-time activation code to sign-up for MyChart. Using the activation code you received at your last visit, click on the Sign Up Now link.

If you do not have an activation code, you can request one by clicking on the Sign Up Now link followed by Click Here to Request Access.

Immediate Medical Emergencies

Please do not use MyChart for messages requiring urgent attention. For urgent medical matters, contact your provider’s office directly.

If you have a medical emergency, please dial 911.

Get the MyChart App

MyChart users can download the MyChart mobile application at the Apple® App StoreSM or the Android Market™ for free.

To download:

  1. Access the App Store or Android Market on your cell phone.
  2. Search for "MyChart" to locate the application.
  3. Download the free MyChart application.
  4. Launch the MyChart application and select MyChart as your healthcare provider.
  5. Log in using your MyChart username and password.

Copies of Your Abstract Health Record

Copies of certain medical records may be released upon receipt of written authorization from the patient or guardian. Charges may apply.

Release of Medical Records

Paper copies of medical records may be released upon receipt of written authorization of patients or a legal guardian. Once authorization is received, it may take up to 10 days to process the request. Behavioral health records, by state law, require physician approval prior to release; please allow an additional 3-4 business days for these requests to be processed.

There is no charge to obtain copies of the following medical records: face sheets, discharge summaries, history of physicals, operation reports, x-rays, labs, pathology, consultations, ER reports and clinic notes.

Any additional records or multiple copies are $0.39 a page, plus tax and postage. If the records are needed for continuing care and are sent directly to the physician or the facility providing treatment, there is no charge to the patient.

If records are needed for treatment or for an appointment within 48-72 hours, physicians can request records by fax when the patient arrives in his/her office for treatment. Records are faxed to the physician’s office at no charge to the patient.

Medical Records Release Form and Contact Information

How to obtain copies of medical records:

  • Print and fill out the Authorization to Use or Disclose Protected Health Information form.
  • Mail or bring in the completed request form to the facility’s Health Information Management office.
  • Records will be gathered and mailed to the requested address with a bill for any applicable charges.

Health Information Management Department
Maricopa Integrated Health System
2601 E. Roosevelt Street
Phoenix, AZ 85008
Phone: (602) 344-5266
Fax: (602)344-5092 
Monday – Friday: 8:00 a.m. – 4:30 p.m.

Authorization to Use or Disclose Protected Health Information Form - (English) PDF Download

Authorization to Use or Disclose Protected Health Information Form - (Spanish) PDF Download

 

Records for your Physician(s)

If your physician is on staff at MIHS he or she may access your medical records from their office without your permission. If your physician is not on staff at MIHS, your doctor’s office can be faxed or mailed records that you personally request at no charge to you. You must still submit the appropriate authorization form, making sure to include the physician’s name, mailing address, phone number and fax number.

An Authorization to Use or Disclose Protected Health Information form must be completed for each physician to whom you need your records mailed or faxed.

Insurance, Attorney, and Disability Requests

Requests should be sent from your insurance company, attorney, or Disability Determination Service (DDS) and mailed to the address on the authorization form. All charges for medical records will be billed to the requestor.

Birth and Death Certificates

Death and Birth certificates are not available from MIHS. These records must be ordered from the Arizona Department of Health Services for Vital Records.

Birth Registry
Phone: (602)344-5222 or (602) 344-5591
Fax: (602) 344-0752

Hours of Operation
Monday – Friday, 8:00 a.m. to 3:30 p.m.

Maricopa County Office of Vital Registration
Department of Public Health
3221 N. 16th Street, Suite 100
Phoenix, Arizona 85016
602-506-6805

Social Security cards will arrive in the mail within 2-3 weeks. For additional information, please contact the Social Security Administration at 800-772-1213.

Record Amendments

If you believe that medical information MIHS has on file about you is incorrect or incomplete, you may request to correct the medical information in your records by completing the Request to Amend Protected Health Information form. If your medical information is accurate and complete, or if the information was not created by MIHS, we may deny your request; however, we will provide you with a written explanation of our reasons for doing so. Requests to make a correction to your records must be in writing by completing a Request to Amend Protected Health Information Form.

Your written request must describe each item that you want changed and the reason you are requesting the change.  Please send your Request to Amend Protected Health Information form to the following address:

Maricopa Integrated Health System 
Health Information Management
2601 East Roosevelt Street
Phoenix, AZ 85008

Request to Amend Protected Health Information PDF Download - (English)

Request to Amend Protected Health Information PDF Download - (Spanish)

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