Patients and Visitors

Request Online

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 (State of Illinois Copying Fees Adjustments).

Note: please have your photo ID ready.

Providers: Click here to request a patient's records

Patients: Click here to request your records

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

To receive copies of your medical records, please complete an Authorization to Release Health Information. You can either
download the form from the link below or obtain it by contacting Health Information Management:

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

Walk-In Location:

UI Health
Health Information Management (HIM)
1740 W. Taylor, Admitting Department Suite 1100, Chicago, Illinois 60612
Phone: 312.996.3350
Hours: 8 am - 4 pm, Monday - Friday
Appropriate fees may apply (State of Illinois Copying Fees Adjustments).

By Mail:

UI Health
Health Information Management Dept. MC 772
833 S. Wood Street, B52
Chicago, IL 60612
By Fax: 312.413.2822 or Email: recordrequest@uic.edu

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 UI Health MyChart at 1.844.906.9844.

UI Health records will be available through MyChart beginning with 9/1/2020 visits. From your MyChart Menu select “Sharing Hub” and select the appropriate box to share your health information with.

Patients and proxies can request records through their MyChart account for records starting 9/1/2020. 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 made by completing an authorization.

If your relative has expired, you can ask for copies of their medical records if:

1. You are the power of attorney for health care that goes beyond the patient’s death, or you are the administrator of the estate. You must provide a copy of the legal document and the death certificate.
2. You are an authorized relative if you are the surviving spouse of the patient who has expired. If there is no surviving spouse, you are an authorized relative if you are the eldest child, a parent, sibling, or other relative that is named and defined in the Illinois rules of interstate succession (755 ILCS 5/2-1).

How to request the records of a relative who has expired:

1. Download an authorization form below to allow UI Health to release deceased relative radiology imaging information. 
   • Authorization for Release of Health Information Form (English, pdf) 
   • Authorization for Release of Health Information Form (Spanish, pdf)
2. Send the authorization, a copy of the administrator of the estate, and a copy of the death certificate to the location as noted above.

Reproductive Health Care Attestation: 

At UI Health, we are committed to safeguarding your reproductive health care information. In line with the updated HIPAA Privacy Rule regarding Reproductive Rights, a Reproductive Health Care Attestation form is now required when requesting medical records that include reproductive health information.

This form ensures that your Protected Health Information (PHI) is used responsibly while protecting your reproductive health rights.

As part of these safeguards, the Attestation form is required when requesting PHI related to the following:

• Oversight of health care activities
• Legal or administrative proceedings
• Law enforcement investigations
• Disclosures to coroners or medical examiners

1. Download an authorization form below to allow UI Health to release your radiology imaging information.
   
   • Authorization for Release of Health Information Form (English, pdf) 
   • Authorization for Release of Health Information Form (Spanish, pdf)
2. Fill out the entire form including the type of records and dates of your visits.
3. Sign the form and send it to Health Information Management:

Walk-In Location (Pick-up same day):

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

By Mail:

UI Health
Health Information Management Dept. MC772
833 South Wood Street, B52
Chicago, IL 60612
Phone: 312.996.0272
Fax: 312.413.9631 or email the completed form to: recordrequest@uic.edu

Cost of Radiology Images on a CD/DVD

• There is no cost to patients requesting their own radiology images.
• There is no cost for radiology images going directly to other healthcare providers.
• Requests for radiology images from third parties are charged $25.00 per CD/DVD. Additional fees may apply

If your relative has expired, you can request copies of their radiology images if:

1. You are the power of attorney for health care that goes beyond the patient’s death, or you are the administrator of the estate. You must provide a copy of the legal document and the death certificate.
2. You are an authorized relative if you are the surviving spouse of the patient who has expired. If there is no surviving spouse, you are an authorized relative if you are the eldest child, a parent, sibling, or other relative that is named and defined in the Illinois rules of interstate succession (755 ILCS 5/2-1).

How to request the radiology images of a relative who has expired:

1. Download an authorization form below to allow UI Health to release deceased relative radiology imaging information.
   
   • Authorization for Release of Health Information Form (English, pdf) 
   • Authorization for Release of Health Information Form (Spanish, pdf)
2. Send the authorization, a copy of the administrator of the estate, and a copy of the death certificate to the location as noted above.

Please allow 3 to 5 business days for processing.