
If you are requesting copies of medical records for yourself, for someone else, or to be sent to or from another entity (such as another medical facility, attorney, etc.), see the options below.
Complete an online form to be sent to our staff, here
Or print, complete, and return a hard copy form to us in one of the following ways:
Print a copy
A representative will contact you once your request is received.
If you need more information or have questions, please call (217) 465-4141.