Request a full copy of your health records:
Use the online portal to complete an Authorization to Release Protected Health Information form and provide proof of valid picture Identification.
Complete the Authorization to Release Protected Health Information form and submit a printed copy along with a physical copy of your proof of identification. There are four options to submit your authorization and proof of identification:
- Visiting our Health Records office at Yuma Regional Medical Center Support Center at 720 Rio Vista Drive, Open Monday – Friday, 8 a.m. – 5 p.m.
- Mailing the documents to: Yuma Regional Medical Center, Attention: Release of Information, 2400 S Avenue A, Yuma, Arizona, 85364
- Faxing to 928-336-7154, Attn: Release of Information
- Emailing to firstname.lastname@example.org
For personal assistance, please call 928-336-7017.
Make sure to include your name, date of birth, address, telephone number and specific date(s) requested on the consent form to assure locating your records. Please indicate if the records are to be mailed to you or another person of your choice. If the records are for your physician, please provide their full mailing address or fax number.