Medical Records in the Northwest Suburbs

Medical Records in the Northwest Suburbs

Medical Records in the Northwest Suburbs

  • Download the Authorization for Release of Medical Information form found here and any additional forms, as needed:
  • Complete all fields on the form:
    • Include your name and date of birth
    • Identify the facility where records are being requested
    • Know what information you need. In most cases, you may not need a copy of your entire medical record. Instead, we are happy to provide an abstract of your care that includes all dictated physician reports such as lab, cardiology, medical imaging and pathology.
    • Sign and date the form
  • Submit the completed authorization via e-mail, fax, U.S. mail, or in-person delivery
    • E-mail, scan and attach the signed authorization and send it to: MyRequest@Centegra.com
    • Fax the authorization to 815.338.5139
    • Mail the completed authorization form to:
      Attn: Medical Records
      4175 Chandler Drive
      Hanover Park, IL 60133
    • Visit the medical records department at McHenry Hospital, Huntley Hospital, or Woodstock Hospital. Our hours are 8:00 am to 12:00 pm and 12:30 to 4:30 pm, Monday through Friday. Please bring a photo ID.
  • Once the records are ready, you will be mailed a copy of the requested records
  • Federal law permits Northwestern Medicine to assess patients a reasonable, cost-based fee for copies of their records (See 45 CFR Section 164.524(c)(4))