Request Medical Records

At OSF HealthCare, we take your private health information very seriously and take every precaution to keep you and your loved one’s health information safe.

Access or Request Your Medical Records

OSF MyChart

Using OSF MyChart, you can view your medical records or request a copy of your medical records or specific medical information.

Sign up for MyChart

For Patients of OSF HealthCare Saint Katharine Medical Center, formerly KSB Hospital in Dixon, Illinois

To request medical records for services provided OSF Saint Katharine Medical Center (formerly KSB Hospital) use one of the options below.

Patient Portal: Patient Portal Sign-in 

Forms:

Special Request & Authorization Forms

Third-Party Authorization Form

If you are a third party and have been authorized to request medical records, you will need to submit an authorization form along with your request.

Third Party Upload 

 

Request Medical Records from an OSF Medical Group or Ambulatory Care Setting

If you would like to request records from a doctor’s office visit, please call the office directly. Find your office’s phone number easily by visiting our location directory and searching for the office.

The quickest way to request your medical records is by requesting them through OSF MyChart or by using the online forms linked above. However, if you cannot use those options, you can send your request via email or fax using the contact information at the bottom of this page.

Request Medical Records from Substance Abuse Programs

You will need to complete specific authorization forms to request medical records from OSF Saint Anthony’s Health Center Inpatient Substance Abuse program and SFMC Medication Assisted Recovery Clinic. Once forms are completed, they can be sent via email, fax or mail or hand delivered to the facility. 

OSF Saint Anthony’s Health Center Inpatient Substance Abuse Program
SFMC Medication Assisted Recovery Clinic Authorization Form
OSF Saint Anthony's Health Center Inpatient Substance Abuse Program Counseling Notes
SFMC Medication Assisted Recovery Clinic Counseling Notes

 

Law Enforcement Request

Law Enforcement Request for Release of Protected Health Information

Request Medical Records from a Previous Health System

Presence Health Medical Records

If you would like to request your medical records for care received prior to February 1, 2018, from Presence Covenant Medical Center, Presence United Samaritans Medical Center, Presence Medical Group (PMG), or PRO Ambulance, please call:

Ascension Saint Mary – Kankakee
(815) 936-3206

St. Margaret's Health Medical Records

To obtain medical records for services provided by St. Margaret’s Health, you may request your records through Cariend, a dedicated records custodian where you can request information.

You may request records online or by mail.

Cariend ROI
P.O. Box 1866
Thomasville, Georgia 31799-1866

If you have questions about requesting medical records, please contact Cariend by email or phone:

  • Email: request@cariend.com
  • Phone: (404) 991-7080

Family Access to Medical Records

Your loved ones – including family or friends – may view your medical records through OSF MyChart.

You may authorize their access by going to OSF MyChart, clicking Your Menu and selecting Sharing Hub or by requesting proxy access. Learn more about Family Access.

How to Obtain Medical Records of a Deceased Relative

Executor of the Estate

An executor of the estate may request medical records by providing proper documentation including executor paperwork and a death certificate. You will need to submit the documentation to the medical records department of the location you are requesting records from.

Health Care Agent on Power of Attorney Form

The person named as a health care agent on a Power of Attorney form must also have the section checked that allows it to remain valid after death. A copy of the Power of Attorney form needs to be included with your request and sent to the medical records department of the location you are requesting records from.

Authorized Relative Certificate Form

Download this form to certify you are the surviving spouse, adult son or daughter, parent, or adult brother or sister of the deceased. You will need to submit this form with a copy of the death certificate and an authorization form to request medical records for the deceased patient.

Request a Status Update on Your Medical Record Request

OSF HealthCare partners with Verisma to assist with the release of information. Please contact Verisma using our OSF HealthCare dedicated line at (309) 205-6977.

Request a Change to Your Medical Record

Pursuant the Privacy Act of 1974 (5 U.S.C. § 552a (d)), an individual can request an amendment of his or her own record, providing the record is inaccurate, irrelevant, untimely or incomplete.

Download the Request for Amendment form. In the PDF, choose the hospital that provided care from the dropdown list. Follow the instructions on the form to submit.

Download the Request for Amendment form


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