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Medical Records

A Release of Information Authorization Form is used by an individual to consent to the release of his or her medical records or x-rays to a new or different physician or health care provider. This release is also often used to assist in a job application or when applying for certain insurance. A parent or legal guardian may provide this authorization to consent to the release of records. A person who has power of attorney may also use this form. To protect a patient's privacy, the law permits disclosure of information only if the patient or his legal representative consents in writing or if the law otherwise permits it. We can send your medical records by email, by fax, by mail or you can pick them up at our Tempe office.

To Obtain an Authorization for Release of Information

  • By Phone: (480) 962-0071
  • By Fax: (480) 962-0590 (Attention: Medical Records)
  • By Mail:
    Medical Records
    Sonoran Spine
    1255 W. Rio Salado Parkway, Suite 107
    Tempe, AZ 85281

After downloading and filling out the form, please mail or fax us your request. Sonoran Spine makes every effort to fill medical records/x-ray requests in a timely manner. If the requested records or films are stored off-site, some records requests can take up to ten business days to process. X-rays/films are to be returned after their use per this request. 

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Gilbert *Updated Address*
3717 S. Rome St, Ste 106, Gilbert, AZ 85297

Glendale 
5681 W. Beverly Ln, Ste 101, Glendale, AZ 85306

North Phoenix
33300 N 32nd Ave, Ste 205, Phoenix, AZ 85085

North Scottsdale (Thompson Peak) *Updated Address* 
20745 N. Scottsdale Rd, Suite 105, Scottsdale, AZ 85255
 

Scottsdale (Osborn) *New Location*
7242 E. Osborn Rd Suite 230, Scottsdale, AZ 85251

Scottsdale (Shea) 
9700 N. 91st St, Ste B108, Scottsdale, AZ 85258

Queen Creek
37200 N. Gantzel Rd., Ste 240, Queen Creek, Arizona 85140

Sonoran Spine in Collaboration with Honor Health Tempe 
1255 W Rio Salado Pkwy, Ste 107, Tempe, AZ 85281