Attorney Records Release Attorney Records Release Form Please complete the form below or download the pdf and fax the document to 480-949-2091. DOWNLOAD PDF >> Date Date Format: MM slash DD slash YYYY RE: Patient (Full Name)*Date of Birth* MM DD YYYY PhoneFAXEmail Consent* There is a $50 charge for medical records; we will remit records after receiving payment.Scottsdale Infectious Diseases Tax ID 200866190SignatureNameThis field is for validation purposes and should be left unchanged. Skip back to navigation