HIPAA - For Patients: Getting Your Medical Record

For Patients

Your Medical Record

Getting Your Medical Record

A patient can request a copy of his/her medical record by completing a Request and Authorization to Copy Health Information form and submitting it to the UC organization that maintains the information being requested. Please see the instructions for completing the form for a list of the UC Organizations.

Medical Records Request - Overview (HTML)

Request and Authorization Form (PDF)

Instructions for completing form (PDF)

For more information please go to the hospital website at http://www.uchospitals.edu/medicalrecords/ or stop by or call Health Information Management (HIM) [Medical Records] or the HIPAA Program Office to request a copy at:

Health Information Management (WB20)
5841 S. Maryland Avenue
Chicago, IL 60637
(773) 834-0444

HIPAA Program Office (L147)
5841 S. Maryland Avenue
Chicago, IL 60637
(773) 834-9716