Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Phoenix VA Healthcare System before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Phoenix VA Healthcare System fax number

(602) 222-6495

Release of Information / Medical Records Office

Used for: Medical records requests / release of information submissions

Fax destination details

Department
Release of Information / Medical Records Office
Purpose
Medical records requests / release of information submissions
Form
VA Form 10-5345a — Individuals' Request for a Copy of Their Own Health Information
Address
650 East Indian School Road, Phoenix, AZ 85012-1839
Voice phone
(602) 277-5551

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill VA Form 10-5345a (Individuals' Request for a Copy of Their Own Health Information), sign it, and submit by mail or fax to the Phoenix VA Release of Information office. Include a signed request and, if requesting someone else's records, appropriate authorization; allow up to 20 business days for processing.

Review official form instructions

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