The Medical Records Custodial department fulfills records requests for previous clients of Faith Solutions to Mental Health and various associated licensed providers. Requests may be made using the online request form below.
There may be costs of up to $1.50 per page per state guidelines (see https://www.azleg.gov/ars/12/02295.htm for more information). Invoices will be sent and fees must be submitted prior to request fulfillment.
A demonstrated legal guardian may request records for an adult. Proof of legal adult guardianship will be required.
A request for records may be denied if content within the record is deemed as potentially harmful to the client or someone else.
A demonstrated legal guardian may request records for a child under the age of 18. Proof of custody or guardianship may be required.
Records may be retrieved by a healthcare office or attorney upon approval of all applicable records request forms or court ordered subpoena and payment of associated fees.
14050 North 83rd Avenue, Peoria, Arizona 85381, United States
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