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Medical Records

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Medical Records

All Alivio patients may request a copy of their medical records; however, proper release of your information requires appropriate authorization. Release for medical records may only be given by a patient.

Download a copy of the medical records request form to print, complete and return to us via mail, fax, or in person at one of our clinics to obtain a copy of your medical records. When picking up records, you will be asked to provide a state or federally issued photo ID. Unless prior arrangements have been made, we will not release information to individuals other than the patient or insurance guarantor.

Fax requests may also be sent to the following numbers:

  • Morgan: 312-829-6842
  • Western: 773-650-1218
  • Berwyn: 708-484-5413

For more information on the release of medical records, please call us at 773-254-1400, after selecting your preferred language, select prompt #4 for medical records.