Forms are in PDF format and require Adobe Acrobat Reader to open and print. This is a free program and is easy to install. If you do not have Acrobat Reader, please install now to view our patient forms.
If you would like to release your medical records to another medical provider for continuing care, or if you'd like to obtain a copy for yourself; print and complete this form (English | Spanish). Once completed, patients can drop off record requests at any health center, or you can mail it to our administrative office:
Attn: Medical Records
4751 N 15th St
Phoenix, AZ 85014