Medical Records Request

To request your medical records or those of your child, please complete the  "Authorization to Use and Disclose Health Information" form.

Mail or fax the completed form to the Health Information & Management Department at the following address:
 
Medical Records Request
Health Information & Management Department
La Rabida Children’s Hospital
6501 South Promontory Drive
Chicago, Illinois 60649
 
Fax: 773.363.6335
 
Please allow 7 to 10 days to fufill the request. There may be a charge for the duplication and mailing of the medical record.