Address: 3815 E Bell Rd, Phoenix, AZ 85032
Appointment Line: 602-755-5004 | Call Us Today! 602-755-5001
Paper Request
If you have any questions, please call our medical records department.
Tampa Office: 813-576-0467
Request a copy of your medical records using our form. Click the button below to download and print the form. Once completed and signed, choose one of the following:
Tampa Medical Release Form
Phoenix Medical Release Form
Mail the form to our office:
Tampa Office: 3001 N. Rocky Point Dr. E, Suite 185, Tampa, FL 33607
Phoenix Office: 3815 E Bell Rd Suite 1400, Phoenix, AZ 85032
Fax the form to our office:
Tampa fax number:
813-582-5525
Phoenix fax number:
602-755-5002
Email the form to
Tampa Office: customercare@lifeguardimaging.com
Phoenix Office: customercarephx@lifeguardimaging.com
