Health Information Requests

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Download and complete the Patient Request for Health Information Form and bring it in person with a valid ID to:

 

Medical Records

CQCH Administration Building

101 Cole Avenue

Bisbee, AZ 85603

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You can also request your Health information by email and by fax*:

 

Email: cqchmedicalrecords@cqch.org   

 

Fax: 520-432-4460

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*Please make sure to attach a copy of a valid ID when requesting records by email or fax.

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Our Location

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101 Bisbee Road, Bisbee, AZ 85603​

Click for directions

520-432-6457​

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