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M-F 8 a.m. - 4 p.m. | 480 800 4890 | Insurance Info
Medical records request forms
The form is different depending on whether you are requesting your medical records from Neurology Associates, or seeking to transfer your records from another provider to Neurology Associates.
Transfer Medical Records to Neurology Associates
Authorization To Release Protected Health Information (PHI)
2201 W. Fairview St. Suite 1 Chandler, AZ 85224
Office: 480-800-4890 Fax: 480-427-4766
Request Neurology Associates to Release Medical Records
Authorization For Release of Protected Health Information (PHI)
2201 W. Fairview St. Suite 1 Chandler, AZ 85224
Office: 480-800-4890 Fax: 480-427-4766
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