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Medical Records Request

Requesting your medical records from FCI

How to Obtain Medical Records

To obtain a copy of your medical records, please return a completed copy of the medical records authorization form. If you have not yet completed an authorization form to have medical records sent to you or another healthcare provider, see the link to download the authorization form. You will need to print, complete, and return the authorization to us by mail, e-mail or fax. The fax number and address for returning the authorization can be found at the bottom of the form.

If you have any questions regarding the release of health information, please call 847-729-2188 and press 6 or dial extension 7500 when prompted.

Payment and Timeline for Medical Records

The normal turnaround time to receive copies of records is 30 days from the time payment is received. If you require the information in less time or on an emergent basis, you may contact our medical records department by calling between 7:30 AM – 4 PM CST, and we will do our best to accommodate your specific needs. We do provide expedited medical records requests at an additional charge. This applies to all requests that are required within one week of payment.

$35.00 for an electronic copy

$50.00 for a jump drive (or USB/flash drive)

$75.00 for a physical copy

$25.00 expedited fee for records needed within one week of request

Your Medical Records and Your Privacy

Ensuring patient confidentiality is a top concern of Fertility Centers of Illinois. To learn more about this, read our Notice of Privacy Practices.

Fertility Centers of Illinois maintains patient records in accordance with regulatory standards. These standards do not require that all patient records be permanently maintained. Depending on the date and type of service, patient records and films may no longer be available for access and duplication.


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