How to Request Copies of Medical Records
COPE Community Services, Inc. maintains a medical record for all patients seen. The release of information from a patient medical record requires proper authorization by the patient or legal representative. Information will not be released, disclosed, or made available for review until the authorization process is completed.
To request a copy of medical and/or billing records, an Authorization for Disclosure of Protected Health Information form needs to be completed. (Download Form) (Spanish). All required information must be completed, including specific dates of service. The records provided will be limited to the information specified on the form.
After completion of the necessary information, including signatures, the form can be sent via the following methods:
By Email: email@example.com
Faxed to 520.798.3791
or hand-delivered or mailed to:
COPE COMMUNITY SERVICES
Health Information Department
1477 W. Commerce Court
Tucson, Arizona 85746
There may be a charge for the cost of reproduction of medical records. Allow five to 10 business days for processing. Contact the Health Information Department (HID) office to ensure records still exist and have not exceeded the legal timeframe for retaining records.
Contact Information Phone: 520.792.3293 Fax: 520.798.3791
Office Hours: Monday – Friday; 8:00am – 5:00pm