Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with SimonMed Imaging before sending sensitive documents. FaxFlow is not affiliated with this organization.
SimonMed Imaging fax number
(602) 302-5958
Medical Records
Used for: Medical records requests / Authorization to Release Protected Health Information
Fax destination details
- Department
- Medical Records
- Purpose
- Medical records requests / Authorization to Release Protected Health Information
- Form
- Authorization to Release Protected Health Information — Authorization to Release Protected Health Information
- Address
- 2620 N 3rd Street, Ste. #100, Phoenix, AZ 85004
- Voice phone
- 602-682-5014
- Website
- Visit organization website
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 out the Authorization to Release Protected Health Information and fax to 602-302-5958 or email to MedRecReq@SimonMed.com to obtain your records.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.