Request Medical Records or Images

Request Medical Records or Images

Did you know? It’s fast and easy to request and receive a copy of your records online through the MyNM patient portal.

To request a copy of your medical records or medical images:

  • Download and complete all fields on the Authorization for Release of Medical Information form (English|Spanish)
  • Submit the form by:

Contact Us

  • Questions Related to Records Requests
    • Contact Health Information Management – Release of Information at 877.9.RECORD (877.973.2673)
  • Questions Related to Image Requests
  • MyNM Patient Portal Questions
    • Contact the MyNM Help Desk at 855.HLP.MYNM (855.457.6966)

Other Types of Requests

To obtain corporate health / occupational health records (external clients only), complete the authorization form found here and submit

  • Via email
  • By fax (312.926.9071).

To obtain a copy of a birth or death certificate, contact the Illinois Department of Public Health