Home Medical Records Request Medical Records Request Text field This form is for paying for Medical Records requests. If you are paying for public records, please use the Public Records Request Form. Fields marked with an asterisk* are required and must be completed prior to clicking Pay Now. User Information First Name Last Name Email A valid email address is required. Upon successful completion of your payment you will receive a receipt via email. Phone Number Please enter your phone number in case we need to contact you regarding this transaction or your records request. Invoice Number Invoice Amount Payment Detail Preview Leave this field blank IMPORTANT NOTICE THIS IS NOT THE SITE TO MAKE DEPOSITS TO AN INMATE’S ACCOUNT OR TO PAY COMMUNITY CORRECTIONS FEES. TO MAKE THESE PAYMENTS, PLEASE VISIT: corrections.az.gov/electronic-payments