Records Request — Arizona Injury Specialists

Patient Records Request

Save time by requesting records online. Simply fill out the form below and our records team will get back to you right away! If you would like to call us directly, please call 480-608-1331. You may also directly email our records department at records@arizonainjuryspecialists.com. Thank you.

Your Name

First Name

Last Name

Your Email

Your Phone

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Law Firm

Date of Loss

Patient Name

First Name

Last Name

Message