Please fill out and submit the form below. Fax patient records to:
520-229-9107, attn: Medical Records
You may also e-mail patient records and referrals to:
Please check all appointment types that apply to this patient.
*required information
Please fill out and submit the form below. Fax patient records to:
520-229-9107, attn: Medical Records
You may also e-mail patient records and referrals to:
Please check all appointment types that apply to this patient.
*required information
5310 N. La Cholla Blvd., Tucson, Arizona • 520-229-8878 • 1-866-750-LUNG (5864) • Fax 520-229-9107