Request Medical Records


CVAM logo on a wall

To request a copy of your medical records with our paper form, please use the link below, print and complete our Medical Records Release form.  Return it to our main office by mail or fax:

CVAM, CardioVascular Associates of Mesa
6116 E. Arbor Ave., Bldg. 3, Ste. 112
Mesa, AZ  85206
Fax (480) 218-4353

Please allow 5 – 7 business days to accommodate your request.

The third form below clarifies how and who we may release information to.

Medical Records Forms


Medical Records Release Form English- Download
Medical Records Release Form Spanish- Download
The release of Information to Spouse/Significant Other/Family- Download
The release of Information to Spouse/Significant Other/Family Spanish- Download 

 

 

 

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Our Office Locations


CVAM 6116 E Arbor Ave. Mesa, AZ 85206

CVAM 37100 N. Gantzel Rd Queen Creek, AZ 85140

CVAM 2730 S. Val Vista Dr.,Building 8N, Gilbert, AZ 85295

CVAM 2979 W. Elliot Rd., Building 5 Chandler, AZ 85224