Dignity Health Nevada medical records

You have the right to get a copy of your medical records. You can also ask for your records to be sent to another person or organization. This could be another health care provider, a family member or a legal representative.

To request your records, complete an authorization for the release of health information form. You can submit the form by mail, fax or in person at one of our medical records departments. Clearly state who can receive your records and for what purpose.

We are here to help you get the information you need in a secure and timely manner. a copy of your records, please download and complete one of the forms below:

• English: Patient Access Request Form

• Spanish: Formulario de solicitud de acceso al paciente

If you need your medical or billing records sent to another person or organization, please download and complete the Authorization to Disclose Form:

• English: Authorization to Disclose Form

• Spanish: Autorización para divulgar información

After completing the form, you may fax (or email), mail your request or bring it in person to your facility:

Dignity Health – St. Rose Dominican, Siena Campus
ATTN: Health Information Management Department
3001 St. Rose Pkwy.
Henderson, NV 89052
Phone: 702-616-5300
Fax: (702) 616-5235

Dignity Health – St. Rose Dominican, San Martin Campus
ATTN: Health Information Management Department
8280 W. Warm Springs Rd
Las Vegas, NV 89113
Phone: 702-616-5300
Fax: (702) 492-8165

Dignity Health – St. Rose Dominican, Rose de Lima Campus
ATTN:  Health Information Management Department
102 E. Lake Mead Pkwy
Henderson, NV 89015
Email: srdh-medicalrecords@commonspirit.org

Please note: The Health Information Management/Medical Records department at St. Rose Dominican, Rose de Lima Campus, is not available for in-person assistance and only offers assistance via mail or email requests. For medical and billing record requests, please visit the St. Rose Dominican Siena Campus or St. Rose Dominican, San Martin Campus.

We are here to help you get the information you need in a secure and timely manner. To submit a request for medical records from Dignity Health Medical Group – Nevada, please download and fill out the request forms and submit them. 

To get a copy of your records for yourself, please download and complete one of the forms below:

• Request for records (English)

• Request for records (Spanish)

If you need your medical or billing records sent to another person or organization, please download and complete one of the forms below

• Request to send records to another person or organization (English)

• Request to send records to another person or organization (Spanish)

Please submit your completed form via email or fax your form to (602) 406-7858. Questions? Call (602) 406-839