We request you to follow the below mentioned steps so that we can maintain privacy:
- Please fill out the below: “Authorization to Release Protected Health Information”. Fill out the details and sign and enter the date on the form.
- Direct to Provider. The easiest and safest means is to send your records to your medical provider is through a secure electronic line. Submit the “Authorization to Release Protected Health Information” form via fax with a photo copy of your valid identification to (602) 302-5958.
- Fax Request / Direct to Patient. You may submit a request to get the medical records via fax. Please fax the completed “Authorization to Release Protected Health Information” form and a photocopy of your valid identification to 623-815-8299. All requests will be processed within 1 week of request receipt.
- Collect in Person. You may pick up your medical records by hand carrying the form and a valid identification to any Sun Radiology Imaging center
Please note: A fee of $25.00 per set applies for any film request. As a courtesy to our patients, any request for reports and/or a CD containing images will be provided at without charge. If the “Authorization to Release Protected Health Information” form is incomplete, you will be contacted by a Medical Record staff member from Sun Radiology to request additional information.