4326 W Montrose Ave
Chicago, IL 60641

Medical Records Request

How to request your medical records

If you would like to request medical records, please fill out the form above and fax it to 773-883-0005.

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.​
Call if you have any questions or would like to speak to someone concerning medical records

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