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About Your Medical Records
At Loyola University Health System, we are sensitive to the private nature of a patient’s medical record. We take steps to assure that your medical records are kept confidential and secure.
We require a patient’s written permission or valid subpoena to release medical records for insurance purposes or legal reasons. These records are sent by mail and are not available by facsimile. The original records are kept at Loyola, but you may request copies at any time once you have provided us written permission.
Note: A separate authorization is required for each request.
How to Obtain Medical Records
You need to fill out an Authorization for Release of Health Record Information form and return it with the appropriate fees to:
Loyola University Health System
Maguire Building, Room 0856
2160 S. First Ave.
Maywood, IL 60153
You can either download the form from this web site or you can call (708) 216-3665 to request a form. If the records are for a deceased patient, you must provide legal documentation showing power of attorney, executor of the estate, or a death certificate showing next-of-kin to obtain records.
If you are not requesting specific documentation, you will be sent an abstract that typically includes history and physical reports, discharge summary, operative reports, consultations, lab, X-ray, specialized tests and most recent outpatient visits.
For ease of reference, hospitals may be reimbursed for copies of medical records as follows:
$0.89 per page for pages 1-25, $0.59 per page for pages 26-50 and $0.30 per page for pages 51 and up
$1.43 per page for copies made from microfiche or microfilm
Actual postage will be charged for all copies
Records being sent to a physician or a health-care facility are provided at no charge to the patient.
VALID ID MUST BE SHOWN AT TIME RECORDS ARE PICKED UP.
Requirements of this statutory section shall be satisfied within 60 days of the receipt of a request by a patient, or attorney.
The statutory reference, for your information, is 735 ILCS 5/8-2001. The fees will be adjusted yearly commencing on 1/20/03.
Most requests are processed within 10 business days of receipt.
For more information, you may contact Loyola University Health System’s Correspondence Department at (708) 216-3665.