In need of your medical records?

Medical Records


We want to guard your privacy and ensure that your medical records are only seen by you, your healthcare providers and those you may grant consent to.

 If you need to send your Medical Records from a specialist to Desert Senita?  Please fill out this form and submit to our Front Office:

Release with DSCHC Information | Spanish Version

If you need to get your own Medical Records or give family members access to your records?  Please fill out this form and submit to our Front Office:

Release without DSCHC Information | Spanish Version

You can also stop by our front office and request it. Please make sure you fill out the form completely to ensure accuracy with the medical records being requested and released. Only information specified on the form will be provided.

Patients can receive one year of medical records with no charge.  For more than a year, a fee of $15.00 plus $0.30 per page will be due upon request of medical records.  

If a request is made to outside hospitals and specialists, a continuity of care form will be required to be mailed or faxed to our health center.



Questions?

Give us a call at (520) 387-5651

Proud Partners

Desert Senita Community Health Center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).

Desert Senita Community Health Center sites are Federal Tort Claims Act (FTCA) deemed facilities.

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