Patients and Visitors

Medical Records Requests

Request Online

NEW! Request medical records with our new online tool. Your records are delivered right to you - no need to go and pick them up. Choose from Electronic or Mail delivery. Appropriate fees may apply: Fee Schedule for copies of records.
Note: please have your photo ID ready.
Click here to access patient records request

1. Complete Online Request
2. You'll be guided through every step of the process
3. Review, Sign, & Submit Request
4. And you are done!

Request in Person

In order to receive copies of your medical records, please complete a valid Authorization to Release Health Information Form.  You can either download the form from the link below or obtain it by contacting:

Health Information Management (HIM)
Phone: 312.996.3350
Hours: 8 am - 4 pm, Monday-Friday
Address: 1740 W. Taylor, Admitting Department Suite 1100, Chicago, Illinois 60612

Appropriate fees may apply: Fee Schedule for copies of records.

• Authorization for Release of Health Information Form (English) Download (pdf)
• Authorization for Release of Health Information Form (Spanish) Download (pdf)

Send Authorization for Release of Health Information Form:

• By fax: 312.413.2822
• By US Mail (Health Information Management, 833 South Wood Street, Suite B-52 (M/C 772), Chicago, Illinois 60612)
• By email to recordrequest@uic.edu