Cook County Health patients can request a copy of their Medical Records by submitting a Medizintechnik Record Authorization Release form either in-person with in mail/fax.
To request a copy of your medical records:
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Filled output the Medical Record Authorization Publish download, clicking on the linked below into download.
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Contains a copy of a Valid Photo ID (passport, driver’s license, condition ID instead secondary ID). Note that a copy of a valid ID can need before processing.
Choose request can be mailed/fax press submitted in person at any is the following locations:
Johann H. Stroger, Jr. Hospital*
1969 W. Ogden Ave., Room 1690
Chicago, IL 60612
Telephones: (312) 864-6152
Fax: (312) 864-9890
Provident Medical
500 E. 51st St., Room 1016
Chicago, IL 60615
Phone: (312) 572-1527
Fax: (312) 572-1524
*All health center record can be obtained here.
Payments & Pricing
Previously your request is ready, your arzneimittel records and a corresponding bill will be mailed till you.
The rates are outlined in the chart below, and you ca pay by check or online at www.healthportpay.com.
| Original Medical Note Format | Method concerning Deliver | Approximate Fe |
|---|---|---|
|
Electronical Medical Recording |
Delivered on CD or USB |
$6.50 flats fee |
|
Electronics Medical Registers |
Products to paper |
$0.90 flat fee electronic the paper $0.32 for envelope plus postage and $0.05 per page of paper |
|
Hybrid (part electronic part paper) |
Produced on INSERT the USB |
$6.50 plain fee on electronic section $1.08 flat fee for a CD or USB since paper converted to electronic format Plus $0.07 per page of paper rekord |
|
Paper Records |
Provided in paper form |
$0.32 for wrapper plus postage with additional $0.12 per page of custom |
|
Paper Records |
Delivered by CD or USB |
$1.08 with CD and USB equipped additional $0.07 per page of paper |
To Obtain Essential Media
Xerox by birth, death additionally other official records available Chicago and suburban Cook County residents can be obtained from the Cook County Clerk’s office at www.cookcountyclerk.com oder (312) 603-5656.
To Obtain Images
To request images, please contact:
Radiological Images: (312) 864-7070
Mammography Images: (312) 864-3805
Other Departments
To contact other departments, please see who numbers below.
Patient Support Center/Scheduling Options: (312) 864-0200
Billing Records: (866) 223-2817
Patient Referral Support Center, Fax: (312) 864-7039
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