Medical Records Requests

DELIV­ERY METHOD UPDATE — Coro­n­avirus (COVID-19): Effec­tive Novem­ber 16, 2020, med­ical records will be mailed or pro­vid­ed elec­tron­i­cal­ly through Record Con­nec­t’s secure online por­tal. For urgent onsite pick up of med­ical records, please select ​“Call for pick­up by patient or legal rep­re­sen­ta­tive” in Sec­tion 4 of the Autho­riza­tion for Release of Health Infor­ma­tion form. A Record Con­nect asso­ciate will reach out to the patient to sched­ule an onsite pick up. Please fol­low the direc­tions pro­vid­ed by the Record Con­nect asso­ciate for safe onsite pick up.

Request­ing Med­ical Records

A request to obtain copies of your med­ical record can be completed:

Online

• Com­plete the Autho­riza­tion for Release of Health Infor­ma­tion Form
• These com­plet­ed forms are auto­mat­i­cal­ly rout­ed to Record Con­nect for completion

By Paper Form

• If you pre­fer to com­plete a paper autho­riza­tion form, please down­load and print the Autho­riza­tion for Release of Health Infor­ma­tion Form.
• Sub­mit your com­plet­ed paper autho­riza­tion form to Record Con­nect by email­ing a copy to dupage.​status@​recordconnectinc.​com or by fax to 1−630−873−8797.

Please note that some of the infor­ma­tion you are request­ing may be avail­able online in our patient por­tal, MyD­MGHealth (MyChart).

To have a copy of your med­ical records sent to DuPage Med­ical Group from anoth­er facil­i­ty, please con­tact that provider directly.

DMG is unable to release records for Edward-Elmhurst Health­care. Please con­tact them direct­ly for your records from those locations.

For ques­tions, please call 1-630−873−8748, Mon­day through Fri­day, 8AM — 5PM.

Deliv­ery

To ensure the safe­ty of our patients and asso­ciates, effec­tive 11/16/2020, records request­ed by the patient will be sent secure­ly via e‑mail or mailed to an address spec­i­fied. Please indi­cate your pre­ferred deliv­ery method in Sec­tion 4 of the Autho­riza­tion for Release of Health Infor­ma­tion Form.

For urgent onsite pick up of med­ical records, please select ​“Call for pick­up by patient or legal rep­re­sen­ta­tive” in Sec­tion 4 of the Autho­riza­tion for Release of Health Infor­ma­tion form. A Record Con­nect asso­ciate will reach out to the patient to sched­ule an onsite pick up. Please fol­low the direc­tions pro­vid­ed by the Record Con­nect asso­ciate for safe onsite pick up.

Fees

There are no fees asso­ci­at­ed with requests for infor­ma­tion to be sent direct­ly to anoth­er med­ical provider out­side of DMG. There may be fees asso­ci­at­ed for requests to be sent to you or to some­one who is not a med­ical provider. If there is a fee for your request, Record Con­nect will pro­vide you with an invoice sum­ma­riz­ing the charges. Pay­ments can be made over the phone by call­ing (312) 757‑5020 or by mail­ing a check to the address list­ed on the invoice. Accept­ed forms of pay­ment are check or cred­it card. Cash pay­ments are not accept­ed. All fees are in accor­dance with Illi­nois and fed­er­al law.