How To Get a Copy of Your Medical Records

CCHHS patients have a choice of requesting for Medical Records in two ways;

  1. . Request By Mail / Fax:
  2.  In-Person Request:

Requestors can download a paper Medical Request Form (see forms below) and send the completed form to any of the following CCHHS locations with a copy of a the following:

Valid photo ID (passport, driver’s license, state ID, or school ID). Note that a copy of a valid ID is required before processing.

Request by Mail/Fax or In-Person Request can be submitted by mail or fax to any of the following locations

  • John H. Stroger, Jr. Hospital
    • 1901 Harrison St.
    • Room 103B, Basement of Fantus Clinic
    • Chicago, IL 60612,
    • Phone 312-864-6152 or Fax 312-864-9456
  • Provident Hospital
    • 500 E. 51st St., Room 116, first floor
    • Chicago, IL 60615
    • Phone 312-572-1527 or Fax 312-572-1524
  • Oak Forest Health Center
    • 15900 S. Cicero Ave, Building B, Sneed Hall, 1st floor
    • Oak Forest, IL 60452
    • Phone 708-633-2151 Fax 708-633-2159

2. In-Person Request: Request can be submitted in person at any of the following locations. Requestors must present a valid photo ID (passport, driver’s license, state ID, or school ID).

Payment & Rates:

Your requested medical records and bill will then be mailed to you by CCHHS vendor (CIOX Health). You can pay by check or online at www.healthportpay.com

The rates are as follows:

Original Medical Record Format Method of Delivery Estimated Fees
Electronic Medical Records Delivered on CD or USB $6.50 flat fee
Electronic Medical Records Produced to paper $0.90 flat fee electronic to paper,
$0.32 for envelope plus postage and
$0.05 per page of paper
Hybrid (part electronic part paper) Produced on CD and USB $6.50 flat fee for electronic portion,
$1.08 flat fee for a CD or USB for
paper converted to electronic
format. Plus $0.07 per page of
paper record.
Paper Records Delivered in paper form $0.32 for envelope plus postage
with additional $0.12 per page of
paper.
Paper Records Delivered via CD and USB $1.08 for CD and USB with additional
$0.07 per page of paper.

 

To Obtain Vital Records

 

Copies of birth, death, and other official records for Chicago and suburban Cook County residents can be obtained from the Cook County Clerk’s office at www.cookcountyclerk.com or (312-603-5656).