To request a copy of your child’s medical records, please download the Authorization for Disclosure of Health Information form and fax the completed form to 773-385-5484.
You may also make a request by mail by sending a completed authorization form to:
Health Information Management
Shriners Hospitals for Children — Chicago
2211 N. Oak Park Ave.
Chicago, IL 60707
If you prefer, you may pick up an authorization form in person by stopping by the health information management office during our regular business hours: 8:30 a.m. – 4:30 p.m., Monday – Friday.
Requests for copies take 10 to 15 business days to process upon receipt of the authorization form. There may be a $1 per page charge depending on the size of the request.
At Shriners Hospitals for Children — Chicago there are no barriers to care. Doctors determine the course of care, and all care is provided regardless of the families' ability to pay. The Chicago Shriners Hospital accepts many types of insurance, including Medicaid. If the child is covered by private insurance or a state funding plan, the hospital will bill and accept reimbursement for services provided at our hospital. Any child under 18 with a medical condition that is within the hospital’s scope of services is eligible.
For more information, or if you have additional questions, please call our financial counselor at 773-385-5450.