Patients & Visitors

Medical Records

During the COVID-19 crisis, NCH’s top priority is to keep our patients and our staff safe. In response to the need for social distancing, the Medical Records department will be closed starting 04/04 until further notice. Please consider the following:

  • Sign up with MyChart to receive instant access to your test results and bills – 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
  • Please use this form to pre-order any Radiology CDsDo not present to the hospital to order or pickup your CD.  You can also use the other options above and below as other options to order a CD. Please 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, please 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.
  • Patients can use recordrequest@nch.org to submit their completed requests. We will accept uploads or pictures of your fully completed and signed authorizations. Please note this is not for 3rd party requestors. You will still need to send your requests via US Mail.

We appreciate your cooperation during this time. Our goal is to get you what you need in a timely manner without risking your health or the health of our NCH staff.

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–6:00 pm. Our Medical Records Center is the fastest, easiest way to access the services you need, including:

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

Important Security Information

To ensure your security and privacy, you’ll need to provide a photo ID at the time of pick-up. Prior to accessing your records, you need to download and print a release form. Please allow 24 hours to process radiology scans to CD. Specific fees apply according to your request.

Free Options
  • Logging into your MyChart account lets you view your test results, discharge instructions, immunizations and billing statements
  • We also can send your records to a healthcare provider of your choice for free

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

Questions?
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 privacy policy.

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