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Patients & Visitors »  Records Request (Medical & Birth)

 

Records Request (Medical & Birth)


Records Request (Medical & Birth)

Medical Records:

Our Health Information Management Services Department will be happy to provide you or your healthcare provider with copies of your medical record. Your medical record contains information regarding your personal health and the care you received at Morris Hospital or one of our affiliated locations.

The processing fee is $.93 per page for pages 1-25, $.62 per page for pages 26-50, and $.31 per page for pages 51+. You will receive an invoice by mail.

In order to assure the confidentiality of each patient, please complete and sign the Authorization to Use and Disclose Health Information form. The form may be returned to us by mail or fax. Please follow the instructions as indicated on the form and allow 7-10 business days for receipt of your records. You may pick up your records or request that they be send in the mail.



Birth Certificate:

For a copy of your original birth certificate, please contact the Grundy County Clerks Office.


 

 

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