Palos Hospital Medical Records

Palos Hospital Medical Records

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
  • Submit the form by:
    • Fax: 708.923.4688
    • Mail: Attn: Medical Records
      12251 South 80th Avenue
      Palos Heights, Illinois 60463

    Contact Us

    • Questions Related to Records Requests
      • Contact Palos Health Information Management – Release of Information at 708.923.4664
    • Questions Related to Image Requests