Request Medical Records - UChicago Medicine Request Medical Records Request Medical Records We want to make it as easy as possible for you to ask for a copy of your medical records. Release of Information for all UChicago Medicine Health System locations is now centralized. This means that records from any UChicago Medicine facility can be requested together and separate requests are no longer needed. UChicago Medicine Locations University of Chicago Medical Center University of Chicago Medicine Ingalls Memorial Hospital University of Chicago Medicine Medical Groups University of Chicago Medicine Crown Point Who can sign to get health information for a patient: The patient (Not the spouse.) Power of Attorney of Healthcare if the patient is not able to sign. (Legal document must be provided.) Parent (If the patient is younger than age 18 years of age.) Parent and minor if the patient is 12 to 17 years of age and is getting psychiatric, alcohol, or drug treatment services. Legal guardian (Proof of guardianship document must be provided.) Representative of the estate for patients who have died. (Copy of the death certificate and a copy of the representative of estate documents must be provided). If your relative has died, you can ask for copies of their medical records if: You are the power of attorney for health care that goes beyond the patient’s death or you are the administrator of estate. You must give a copy of the legal document and the death certificate. You are an authorized relative if you are the surviving spouse of the patient who has died. If there is no surviving spouse, you are an authorized relative if you are the eldest child, a parent, sibling or other relation that is named and defined in the Illinois rules of intestate succession (755 ILCS 5/2-1). How to request the records of a relative who has died: Download an authorization form to allow UChicago Medical Center to release the medical records of your deceased relative. Download and fill out the Authorized Relative Certification Send the authorization, a copy of the administrator of estate, the relative certification and a copy of the death certificate to the location of the patient’s visit as noted above. Please allow 7 to 14 business days for processing. Contact the Health Information Management Office with any questions. Walk-In Locations: University of Chicago Medicine 5841 South Maryland Ave. Room W020 Chicago, IL 60637 Ingalls Memorial Hospital Cancer Center Lower Level One Ingalls Drive Harvey, IL 60426 Hours of Business: Monday to Friday, 8 am to 4:30 pm Phone: 773-702-1637 Request Records Through MyChart Existing patients who have signed up for MyChart may log in to view medical records. If you recently had an appointment, please review your After Visit Summary to find an activation code and instructions on how to access your MyChart account. If you are unable to locate the activation code or need assistance, please contact UCM Connect at 1-888-824-0200 Ingalls’ records will be available through MyChart beginning with 8/1/2022 visits. Patients and proxies can request records through their MyChart account for records starting 5/6/2012. Requests can only be for yourself, as the records are delivered through MyChart. Images and pathology slides cannot be requested in this manner. Any other requests must be done by completing an authorization. From your MyChart Menu select “Request Release of Information” All Other Record Requests Download an authorization form to allow UChicago Medical Center to release your health information. Fill out the whole form including the kind of records and dates of your visits. Sign the form and send it to the address below: Medical Records University of Chicago Medicine Medical Records Dept.  MC 0978 5841 South Maryland Ave. Chicago, IL  60637 Phone: 773-702-1637 Email: himauthforrecords@uchicagomedicine.org Billing Records University of Chicago Medicine 150 Harvester Suite 300 Burr Ridge, IL 60527 Email: UCMAttorneyRequests@uchicagomedicine.org Phone: 844-843-3594 UChicago Medicine Ingalls Memorial Hospital: 708-915-6013 Radiology Images University of Chicago Medicine Radiology Dept. MC2026 Radiology Film Request 5841 South Maryland Ave. Chicago, IL 60637 Phone: 773-795-9723 - leave a message with schedulers who will forward the request to the film library. Email: radfilmlibrary2@bsd.uchicago.edu UChicago Medicine Ingalls Memorial Hospital: 708-915-5625 You will get copies of your medical records in 7 to 14 days from the date the UChicago Medicine Organization gets the request. You will be told by mail if the request cannot be processed within 7 to 14 days. Download an authorization form to allow UChicago Medical Center to release your health information. Fill out the whole form including the kind of records and dates of your visits. Sign the form and send it to the address below: Radiology Images University of Chicago Medicine Radiology Dept. MC2026 Radiology Film Request 5841 South Maryland Ave. Chicago, IL 60637 Phone: 773-795-9723 - leave a message with schedulers who will forward the request to the film library. Email: radfilmlibrary2@bsd.uchicago.edu UChicago Medicine Ingalls Memorial Hospital Attention Radiology Imaging Request 1 Ingalls Drive Harvey, IL 60426 Phone: 708-915-5625 In person request can be made at the Harvey location front desk, Monday - Saturday from 7 am – 7 pm Phone: 708-915-5625 CDs with reports are mailed via USPS or FEDEX to another facility or physician office only. Expedited shipping is available at the expense of the requestor. The patient or legal representative must appear in person to sign the release form and have a photo at the time of pick up. CD at the Hospital - 24 hour turnaround after receipt of request. Download an authorization form to allow UChicago Medical Center to release your health information. Fill out the whole form including the kind of records and dates of your visits. Sign the form and send it to the address below: Billing Records University of Chicago Medicine 150 Harvester Suite 300 Burr Ridge, IL 60527 Email: UCMAttorneyRequests@uchospitals.edu Phone: 844-843-3594 University of Chicago Medical Center (UCMC) - Hospital Billing Email: ucmattorneyrequests@uchicagomedicine.org Phone: 844-843-3594 University of Chicago Physicians Group (UCPG) - Physicians Billing Phone: 773-795-2886 UChicago Medicine Ingalls Memorial Hospital - Attorney Requests Phone: 708-915-6013 Cost of Records There is no cost to patients asking for their own medical records. There is no cost for records going directly to other healthcare providers. Requests for third parties are charged the State of Illinois copying fees (735 ILCS). Records are not released until we receive payment. Medical Records Quick Links University of Chicago Medicine Health System Authorization Form University of Chicago Medicine Health System Authorized Relative Certification