Banner Health
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Banner Rehabilitation Hospital Contact Us Form

For further information about our medical rehabilitation services, billing or general inquiries, please provide us with the information listed below. 

Request Medical Records

Copies of medical records can be obtained by submitting a written request to our Medical Records Department or by faxing a request. For your convenience, a copy of the Patient Access and Authorization form (PDF) can be printed, signed and sent to the addresses or fax numbers below. 

Banner Rehabilitation Hospital West
12740 North Plaza Del Rio Blvd.
Peoria, AZ 85381
Medical Records Fax: (623) 600-7017

Banner Rehabilitation Hospital Phoenix
775 East Willetta Street
Phoenix, AZ 85006
Medical Records Fax: (623)  600-7051

NOTE: In accordance with state law, a fee may be charged. 


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