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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 University of Chicago organization that maintains the information being requested.  Please see the instructions for completing the form for more information.

Medical Records Request - Overview
Request and Authorization Form 
Instructions for Completing Authorization Form

More information can be found on the University of Chicago Medical Center website at You can also stop by or call the Health Information Management (HIM) Department [Medical Records] at:

Health Information Management (WB20)
5841 S. Maryland Avenue
Chicago, IL 60637
(773) 834-0444
HIPAA Privacy Program
5841 S. Maryland Avenue
MC 1000
Chicago, IL 60637
(773) 834-9716