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Request Medical Records

John C. Lincoln's Health Information Management is responsible for keeping accurate personal health information for each patient receiving services at our facilities. Here's where you'll find information on requesting medical records.

Download the Authorization Form

Download the Authorization Form for requesting medical records (PDF; requires free Adobe Reader)

En Español: Autorización para el Uso o Revelación de la Información de su Expediente Médico

To obtain a copy of your information:

  • Complete an Authorization Form.
  • Send completed form, along with a legible copy of your photo ID, to the facility where you were a patient. Acceptable forms of identification are government-issued ID cards and John C. Lincoln employee ID cards.
  • Mail, fax or deliver forms to the facilities listed below.

John C. Lincoln
Deer Valley Hospital

Attn: Health Information Department
19829 N. 27th Ave.
Phoenix, AZ 85027
Phone: 623-879-5571
Fax: 623-879-5559

Office Hours:
Monday - Friday
8:30 a.m. - 5:00 p.m.

John C. Lincoln
North Mountain Hospital

Attn: Health Information Department
250 E. Dunlap Ave.
Phoenix, AZ 85020
Phone: 602-870-6352
Fax: 602-678-3217

Office Hours:
Monday - Friday
8:30 a.m. - 5:00 p.m.

Records may take up to 72 hours to process. Fees may apply.