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Medical
Records
About Your
Medical Records
At Loyola University
Health System, we are sensitive to the private nature
of a patient’s medical record. We take steps to assure
that your medical records are kept confidential and
secure.
We require a patient’s
written permission or valid subpoena to release medical
records for insurance purposes or legal reasons. These
records are sent by mail and are not available by facsimile.
The original records are kept at Loyola, but you may
request copies at any time once you have provided us
written permission.
Note: A separate authorization
is required for each request.
How to Obtain Medical
Records
You need to fill
out an "Authorization for
Release of Medical Record Information" form
and return it with the appropriate fees to:
Loyola University Health
System
Correspondence Department
Maguire Building, Room 0856
2160 South First Avenue
Maywood, IL 60153
You can either download
the form from this web site or you can call (708) 216-3665
to request a form. If the records are for a deceased
patient, you must provide legal documentation showing
power of attorney, executor of the estate, or a death
certificate showing next-of-kin to obtain records.
If you are not requesting
specific documentation, you will be sent an abstract
that typically includes history and physical reports,
discharge summary, operative reports, consultations,
lab, X-ray, specialized tests and most recent outpatient
visits.
Charges
For ease of reference,
hospitals may be reimbursed for copies of medical records
as follows:
- $0.86
per page for pages 1-25, $0.57 per page for pages
26-50 and $0.29 per page for pages 51 and up.
- $1.43
per page for copies made from microfiche or microfilm.
- Actual
postage will be charged for all copies.
Records being sent to a physician or a health-care facility are provided at no charge to the patient.
VALID ID MUST BE SHOWN
AT TIME RECORDS ARE PICKED UP.
Requirements of this statutory
section shall be satisfied within 60 days of the receipt
of a request by a patient, or attorney.
The statutory reference,
for your information, is 735 ILCS 5/8-2001. The fees
will be adjusted yearly commencing on 1/20/03.
Time
Most requests
are processed within 10 business days of receipt.
For more information, you
may contact Loyola University Health System’s Correspondence
Department at (708) 216-3665.
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