Wickenburg Community Hospital & Clinic’s Health Information Management department (HIM) is responsible for keeping complete medical records for each patient.
The HIM office is located inside the hospital, enter through the Bralliar Entrance.
Office Hours | Monday – Friday 8:00 am – 4:30 pm.
Medical Records: 928-684-4364 | Billing Support: 928-684-4365
Copies of your medical record information can be requested by contacting a representative at 928-684-4364 or by faxing a request to 928-684-9406.
Prior to receiving the copies, a standard “Authorization to Disclose Health Information” form must be completed and proof of identification provided. Requests can be emailed with completed Release of Informed Consent forms to medical.records@wickhosp.com.
For instructions on how to complete the authorization form, please click here.
Please tell us about any problems or concerns you have with your privacy rights or how WCH uses or discloses information about you. If you have a concern, please contact the Privacy Officer by either of the following channels:
If for some reason we cannot resolve your concern, you may also file a complaint with:
The Arizona Department of Health and Human Services, Region IX – AZ Office for Civil Rights:
U.S. Department of Health & Human Services
90 7th Street
Suite 4-100
San Francisco, CA 94103
(415) 437-8310 – (415) 437-8311 (TDD) – (415) 437-8329 FAX
You may also file a complaint electronically by emailing the Office of Civil Rights or visiting their website at www.hhs.gov.
We will not penalize you or take any retaliatory action against you in any way for filing a complaint with the federal government.
