Requesting Medical Records

Please use the "Authorization For Release of Medical Information" when a patient would like a copy of their medical record. The patient must provide photo identification and sign the form at the Medical Records Office, which is located in the South Wing of White Mountain Regional Medical Center. Outpatient Registration personnel can direct to the specific location.

Download the Release of Medical Information Form
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Contact Us

White Mountain Regional Medical Center


Mailing Address

Our Location
118 South Mountain Avenue
Springerville, Arizona 85938

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