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Sub­mit your com­plet­ed paper autho­riza­tion form to Scan­STAT by email­ing a copy to or by fax to 1−630−873−8797.įor ques­tions, please call 1−630−873−8748, Mon­day through Fri­day, 8AM - 5PM.If you pre­fer to com­plete a paper autho­riza­tion form, please down­load and print the Autho­riza­tion for Release of Health Infor­ma­tion Form (AUTOR­IZACIÓN PARA LA DIVUL­GACIÓN DE INFOR­MA­CIÓN DE SALUD).

These com­plet­ed forms are auto­mat­i­cal­ly rout­ed to Scan­STAT for completion.Com­plete the Autho­riza­tion for Release of Health Infor­ma­tion Form.Please con­tact them direct­ly for your records from those locations.Ī request to obtain copies of your med­ical record can be completed: Online To have a copy of your med­ical records sent to Duly Health and Care from anoth­er facil­i­ty, please con­tact that provider directly.ĭuly Health and Care is unable to release records for Edward-Elmhurst Health­care.

Please note that some of the infor­ma­tion you are request­ing may be avail­able online in our patient por­tal, M圜hart. Please fol­low the direc­tions pro­vid­ed by Scan­STAT for safe onsite pickup.

You may also sched­ule an appoint­ment by call­ing 1−630−873−8748, Mon­day through Fri­day, 8am – 5pm. ONSITE DELIV­ERY METHOD UPDATE - Coro­n­avirus (COVID-19): Med­ical records will be mailed or pro­vid­ed elec­tron­i­cal­ly through Scan­STAT via encrypt­ed email, secure FTP, or requestor portals.įor urgent onsite pick up of med­ical records, please select ​ “Pick up with Pho­to ID” in Sec­tion 4 of the Autho­riza­tion for Release of Infor­ma­tion form, and a Scan­STAT asso­ciate will reach out to sched­ule an onsite pick­up.