Health Information Management

Ensuring patient confidentially is a top concern of NorthShore University HealthSystem. To learn more about this, read about our Patient Right and Responsiblities statement.

NorthShore University HealthSystem maintains patient records in accordance with regulatory standards. These standards do not require that all patient records be permanently retained. Depending on the date and type of service, patient records and films may no longer be available for access and reproduction.

If you have any questions please contact us at 847.982.4560. To check the status of your request please email ROIStatus@northshore.org.

Request a Copy of Your Medical Record

To request a copy of your medical record please complete our medical record request form.

If you are an insurance, attorney’s office, or record retrieval company, please mail your request to the address below. Faxed or emailed requests will not be accepted.

• Request Online
  ****NEW! Request medical records with our new online tool. Your records are delivered right to you - no need to drive anywhere to pick them up. Choose from Electronic or Mail delivery.
  Note: please have your Government Issued Driver’s License or State photo ID ready.
  Click HERE to access Online patient records request.
  1. Complete Online Request
  2. You'll be guided through every step of the process.
  3. Review, Sign, & Submit Request
  4. And you are done!

• NorthShoreConnect
  If you have an active NorthShoreConnect account, you can request your record through NorthShoreConnect.
  If you are not a member, you may request an access code today.
  The turnaround time to receive records through NorthShoreConnect is 1-3 business days.
  
  Records requested through NorthShoreConnect can only be released back to the patient.
  
  To request your medical record be released to NorthShoreConnect, log in and go to "Your Menu," and search "Medical Record Request" or select “Document Center” and "Requested Records/I would like to request a medical record." Note: radiology images, and Cardiac Imaging cannot be sent via email or to NorthShoreConnect – see below for contact information.

• Mail
  Health Information Management
  Attention to CIOX
  4901 Searle Parkway Suite 170
  Skokie, IL 60077

• Email/Fax
  Email: releaseforms@northshore.org
  Continuation of Care Requests: 847.982.4495
  Patient Requests: 847.982.4499

• Request in Person
  To receive copies of your medical records, bring the completed AUTHORIZATION FOR DISCLOSURE OF CONFIDENTIAL INFORMATION form (or complete it at the time of your in-person request). If you send someone else to pick up your medical records, the form must be completed and signed by the patient with your name in the section “I AUTHORIZE NORTHSHORE UNIVERSITY HEALTHSYSTEM TO RELEASE TO” before you come to the hospital. Please bring your driver’s license or photo ID for all in person requestors.

The turnaround time to receive copies of records is 7-10 business days. If needed, patients can come in person to request records at one of our five hospital medical records locations. Our walk-in hours at the hospital locations below.

Walk-In Locations:
Evanston Hospital
2650 Ridge Ave, RM G225, Evanston, IL 60201
Phone: 847.570.3988
Monday-Friday, 7:30 a.m. – 4 p.m.

Glenbrook Hospital
2100 Pfingsten Rd, RM B206, Glenview, IL 60026
Phone: 847.503.3176
Monday-Friday, 7:30 a.m. – 4 p.m.

Skokie Hospital
9669 Kenton Ave, Suite 404, Skokie, IL 60076
Phone: 847.933.6784
Monday-Friday, 7:30 a.m. – 4 p.m.

Swedish Hospital
Anderson Pavilion - 2751 W Winona St, Chicago, IL 60625
Phone: 773.878.8200 EXT. 5580.
Monday-Friday, 7:30 a.m. – 4 p.m.

If you have any questions please contact us at 847.982.4560. To check the status of your request please email ROIStatus@northshore.org.

To request images, slides, or billing information please contact the correct department listed below.

Who can sign to get health information for a patient:

• The patient (Not the spouse)
• Power of Attorney if the patient is not able to sign (Legal document must be provided.)
• Parent (If the patient is younger than age 18 years of age)
• Parent and minor if the patient is 12 to 17 years of age and is getting psychiatric, alcohol, or drug treatment services.
• Legal guardian (Proof of guardianship document must be provided.)
• Representative of the estate for patients who have died. (Copy of the death certificate and a copy of the representative of estate documents must be provided).

Other Types of Requests:

• To obtain a copy of a birth or death certificate, contact the Illinois Department of Public Health.
• To check the status of a Social Security card for your baby, contact your local Social Security office.

You have the right to access, review and get copies of your medical record. You have a right to request amendments to your medical record in accordance with our policies. Except where permitted by law, your medical record cannot be released without your consent.