Once completed please return the form via mail or fax: Please contact the Radiology Department with questions: 50Īuthorization of Release of Medical Images Form There will be a fee if images are requested for legal cases. Once the images have been retrieved, the Radiology Department will provide a quote of what it would cost for the images and you will then have the opportunity to choose to go forward with the request and pay the charge or cancel your request.Īll requests must be sent via the form, we cannot accept requests via email or phone. There is no charge for personal copies of images or to send directly from Signature Healthcare to another provider. 5555 W Thunderbird Rd Glendale, AZ 85306. Learn more about this innovative partnership, and how these two. 346 reviews of Banner Thunderbird Medical Center 'Nothing but a great experience with this place. If you wish to obtain a copy of images from a Radiology exam (X-Ray, Ultrasound, CT, Mammogram, Etc.), please complete the Authorization of Release of Medical Images form below. Together, Banner and Aetna are taking a new approach to the way health care is offered. They also utilize complementary therapies for patients such as pet therapy or aromatherapy. Banner Thunderbird Medical Center Abrazo Arrowhead Hospital Ambulatory Surgical Center Services. Banner Thunderbird Medical Center imaging professionals provide a wide variety of medical imaging procedures, including: Breast imaging. Skip to Content Careers Patient Portal Pay Your Bill 623-876.
Learn more about payment plans and financing options. Once completed, please fax the form to 47 or mail it to: Submit questions online and discover more information about Banner Boswell Medical Center in Sun City, AZ, which is a Cardiac Solutions affiliate. Any questions regarding the Banner financial assistance programs, or you need help establishing a payment arrangement please contact us at (888) 264-2127 Monday through Thursday 8 a.m. Request Copies of Medical Records If you wish to fill-out a paper form to request your records, please click here. To request a copy of your medical records, please click the button below. Please contact the Health Information Management Department (HIM) with questions: 50. Once the record has been retrieved, the Medical Records Department will provide a quote of what it would cost for the record and you will then have the opportunity to choose to go forward with the request and pay the charge or cancel your request. There is no charge to send your records directly from Signature Healthcare to another provider, but if you wish to obtain a personal copy there will be a charge.
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