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Medical Records
The medical records department plays a key role in caring for our patients because it tracks every treatment, procedure and diagnosis by physicians for each patient. At Loretto Hospital, our medical records staff works closely with attending physicians to ensure that the patient’s medical information is recorded accurately and in a timely manner. Additionally, because of the sensitivity of patient records, Loretto
 
Hospital adheres to all federal HIPAA Privacy Rules, which protects the privacy of a person's health information, whether electronic, written, or verbal.
 
How to Obtain a Copy of Your Medical Record
 
In order to protect your privacy, we require written authorization and a valid photo ID to release your medical records. Below is the Authorization for Release of Medical Information. Please print and complete the form. Bring the completed form, along with a valid photo ID to the Medical Records Department at 645 S. Central Avenue, Chicago, Illinois 60644. You may also obtain a copy by contacting the Medical Records Department at (773) 854-1862.
 
 
Acceptable Forms of Identification
 
The following are acceptable forms of identification:
 
1.State-issued ID            1.Birth Certificate
2.Driver’s License            2.Social Security Card
3.Passport
 
Office Hours
 
The Medical Records Department is available to assist you during regular business hours, Monday through Friday from 9:00 a.m. to 4:00 p.m.
 
When Will I Receive a Copy of the Medical Record?
 
Copies are processed within 7 to10 business days from the date the request is received, but can take up to 30 days.
 
Is there a Fee Associated with Obtaining a Copy of My Medical Record?

Number of Copies Paper Medical Records Electronic Medical Records

Handling charges

$24.81

50% of the per page charge for paper copies

Pages 1 - 25

$.93

Pages 26 - 50

$.62

Pages 51 and more

$.31


Note: Fees are subject to change without notice.

Contacting Medical Records

 If you need any additional information, please contact our Medical Records Department at (773) 854-1862.

Fax: (773) 854-5645

Authorizations for Release Information: (773) 854-5645

 
Kimberly Lightford Emergency
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