Medical Records Request
If you would like to request medical records, please fill out the form below and fax it to 773-883-0005. If you have any questions, or would like to speak to someone concerning medical records, you may contact the front desk at 773-883-9100.
Please note that, the medical records department does not provide radiology films and has up to 90 days to fulfill requests as per our policy. Please call 773-883-9100 for more information regarding record requests.