Health Information Management

Health Information Management (HIM) – also known as Medical Records – is committed to protecting and maintaining health records to support the delivery of patient care at Dignity Health Yavapai Regional Medical Center, Yavapai Regional Medical Group, and Dignity Health Outpatient Imaging Center in Prescott and Prescott Valley.

Our HIM team also provides information for birth certificates and death certificates, assists with amendments to health records, and helps patients set up their YRMC CareConnect accounts to access health records online.

    Please visit YRMC CareConnect for detailed information.

    To request copies of health records, complete an Authorization to Disclose Protected Health Information.

    You can deliver, mail, fax, or email the authorization form to the HIM Department in Prescott or Prescott Valley. If delivering, office hours are 8:00 a.m. to 4:30 p.m. Monday through Friday, closed from 12:00 p.m. to 12:30 p.m.

    Here are the addresses, along with mailing and fax information. Please call (928) 771-5657 for an e-mail address.

    Release of Information
    Health Information Management
    Dignity Health Yavapai Regional Medical Center
    7700 East Florentine Road
    Prescott Valley, Arizona 83614
    Phone (928) 771-5657
    Fax (928) 771-5785
    Location Map

    Release of Information
    Health Information Management
    Dignity Health Yavapai Regional Medical Center
    1003 Willow Creek Road
    Prescott, Arizona 86301
    Phone (928) 771-5657
    Fax (928) 771-5785
    Location Map

    Use the following checklist to complete your health record request. Please review your request carefully before submitting it. If it’s unsigned or incomplete, your health record request could be delayed. In addition, depending on the request, there may be copying fees.

    • Do you want a paper or an electronic version of the health record? Please make a note of your preference on the authorization form. If no preference is included, we’ll provide a paper copy.
    • Is your request urgent, or do you have special handling needs? Please include this information on the authorization form as well.
    • Please provide one of the following forms of identification with your request. All identification must be valid and current.
      • Driver’s license
      • Employment ID
      • Military ID
      • School ID
      • State-issued ID
      • Veteran’s Administration ID
      • Passport
    • Please include any additional documents if needed, such as a power of attorney for health care document, legal guardianship paper, divorce decree, death certificate, or executor of estate document.
    • If you want to pick up the health record from the HIM Department, please indicate this on the authorization form. Be sure to include a daytime phone number so we can call you when the health record is ready.

    You can deliver, mail, fax, or email the authorization form to the HIM Department in Prescott or Prescott Valley. If delivering, office hours are 8:00 a.m. to 4:30 p.m. Monday through Friday, closed from 12:00 p.m. to 12:30 p.m.

    Here are the addresses, along with mailing and fax information. Please call (928) 771-5657 for an e-mail address.

    Release of Information
    Health Information Management
    Dignity Health Yavapai Regional Medical Center
    7700 East Florentine Road
    Prescott Valley, Arizona 83614
    Phone (928) 771-5657
    Fax (928) 771-5785
    Location map

    Release of Information
    Health Information Management
    Dignity Health Yavapai Regional Medical Center
    1003 Willow Creek Road
    Prescott, Arizona 86301
    Phone: (928) 771-5657
    Fax: (928) 771-5785
    Location Map

    In most cases, records are sent by U.S. mail. If you need health records for a medical emergency, we can fax the health records directly to a physician or medical facility. Please allow three working days after we receive your request to prepare the records. While the law allows 30 days, our HIM team makes every effort to honor your requested time frame. In some cases, there may be a delay in processing requests due to health record completeness at the time of the request.

    If you review your health record information and believe that the information is incorrect or incomplete, you may request that your record is amended. Please submit your request in writing to:

    Amendment of Medical Information
    Health Information Management
    Dignity Health Yavapai Regional Medical Center
    1003 Willow Creek Road
    Prescott, Arizona 86301
    Phone: (928) 771-5657
    Fax: (928) 771-5785

    For more information, please review the Yavapai Regional Medical Center Privacy Notice.

    Yavapai Regional gathers information for the process of registering a birth or death. However, certified copies of birth or death certificates must be requested through the Arizona Department of Health Services Office of Vital Records. phone (602) 364-1300 or (888) 816-5907.

    Advance directives are an important part of health care preparation. These can include a living will, medical power of attorney, mental health power of attorney, or a combination of all three. Here are sources to assist you:

      Emergency requests usually apply to hospitalized patients for whom the information is critical to the care or service being provided. Please fax your request with “stat” to indicate top priority to (928) 771-5785.
      Please mail or fax your request and include the patient’s authorization if needed. Be specific regarding the information you’re requesting so our team can provide you and the patient the best service possible. Unless otherwise noted, your request will be returned within one business day. If your request requires a faster response, please make a note of that on your request and we will do our best to meet your needs.

      Please mail or fax a complete request, including patient authorization, purpose of the request, and any additional information required to meet your request to:

      Release of Information
      Health Information Management
      Dignity Health Yavapai Regional Medical Center
      1003 Willow Creek Road
      Prescott, Arizona 83601
      Phone (928) 771-5657
      Fax (928) 771-5785

    In most cases, records are sent by U.S. mail. If you need health records for a medical emergency, we can fax the health records directly to a physician or medical facility upon your request. Please allow three working days after we receive your request to prepare the records. While the law allows 30 days, we make every effort to honor your requested timeframe. If your request is incomplete, there may be a delay.