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Patients & Visitors

Medical Records

Easy Access to Your Medical Records.

You should always have access to your medical history. That’s why we have a variety of ways that you can get the information you need, when you need it. For your convenience, you do not need to make an appointment. Walk-ins are welcome during our hours of operation, Monday–Friday: 8:00 am–5:00 pm.

Our Medical Records Center provides services you need including:

  • Access to Financial Counselor
  • Cashier Services
  • Medicaid application assistance
  • Pick up/drop off pathology slide
  • Pick up/drop off X-rays
  • Request/pick up medical records

If you need access to your records outside these times, you can visit your MyChart account 24/7.

Obtaining Medical Records, Bills and Radiology CDs

To ensure your security and privacy, you’ll need to provide a photo ID at the time of pick-up.

  • Logging into your MyChart account lets you view your test results, discharge instructions, immunizations and billing statements. If you don’t have a MyChart account, please call 847-618-2000 to get signed up.
  • You can print our Authorization to Disclose Records, fill out in its entirety, then fax to the number on the form or mail your request in to:
    800 W. Central Rd
    Arlington Heights, IL 60005
    Attn: Medical Records
  • You can pre-order your Radiology CD by using this formPlease allow 48-72 hours after you submitted your request at which time it will be mailed to you or your designated recipient, via US mail.
  • In cases of Emergency and you cannot wait the 48-72 hours and you need to bring your records or Radiology CD to a physician’s appointment:
    • Have your provider fax a request to HIM at 847-618-4986 or have them call us directly at 847-618-3200, option #1. We will expedite your request to your provider within 24 hours.
    • Walk-ins are now welcome to the HIM department at the hospital, though there may be a 30-45 minute wait time.
  • Patients can use to submit their completed Authorization to Disclose Records. We will accept uploads or pictures of your fully completed and signed authorizations. Please note this is not for 3rd party requestors. 3rd parties will still need to send their requests via US Mail.

We will send your records to any healthcare provider of your choice for free. However, if you choose to pick up your records yourself, the following charges will apply:

  • Pages 1–12: FREE
  • Pages 13–25: $.50 per page
  • Pages 26–50: $.25 per page
  • Pages 51+: $.15 per page
  • Radiology CD: 1st copy for free, $20.00 each additional
  • Cardiology CD: $20.00 per CD

Payment is preferred at the time that the records are requested. For your convenience, payment methods are debit card, credit card (Mastercard®, Visa® or Discover®) or personal check.

Mail your printed and completed release form to:
Northwest Community Healthcare
Health Information Management Department
800 W. Central Road
Arlington Heights, IL 60005
Or, fax it to 847-618-3249

Call 847-618-3200 (option #2). If you leave a message, a representative will return your call within 24 hours or the next business day.

NCH Privacy Policy
We’ve always made it a priority to protect the privacy of our patients. In addition, new government regulations that have been outlined in the Health Insurance Portability and Accountability Act (HIPAA) provide an additional way to help guarantee patient privacy.

We’ve also prepared our own Privacy Notice that details how health information will be used and disclosed. This notice also describes patients’ rights related to the use and disclosure of individual health information. View our Notice of Privacy Practices.

Patient Amendment Process

If you feel that the documentation within your record was made in error, you have the right to request that NCH amend the information. NCH will investigate your request and consider the changes. However, clinical notes are part of your physician(s) and care team’s assessment and therefore any amendment requests will be at NCH discretion based on a review of the note. Factual information will not be amended or removed. To start your request to amend, please fill out this form and send form to HIM via the following options:

  • Send via mail to: Attn: Medical Records, 800 W. Central Rd., Arlington Heights, IL 60005
  • Send via email to:
  • Send via Fax to: 847-618-4999