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Medical Record

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
Correspondence Department
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.


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.

Contact Us

For more information, you may contact Loyola University Health System’s Correspondence Department at (708) 216-3665.