Request Medical Records


 

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 to who we may release information.

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 all locations


CVAM 6116 E Arbor Ave. #112 Mesa, AZ 85206
Fax: (480) 218-4353

CVAM 37100 N. Gantzel Rd #202 Queen Creek, AZ 85140
Fax: (480) 218-4353

CVAM 2730 S. Val Vista Dr.,Building 8N, #140 Gilbert, AZ 85295
Fax: (480) 218-4353

CVAM - Outpatient Service Center 4838 E Baseline Rd., Building 1 #108 Mesa, AZ 85206 
Fax: (480) 218-4353