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Access or Request Your Medical Records

ºÚ°µ±¬ÁÏÍø MyChart

Using ºÚ°µ±¬ÁÏÍø MyChart, you can view your medical records or request a copy of your medical records or specific medical information.

How to Request Medical Records Using ºÚ°µ±¬ÁÏÍø MyChart

Step 1: Log in to
Step 2: Click on Your Menu at the top of the page
Step 3: Click on Request Medical Records under the Sharing section of the menu
Step 4: Choose which facility you are requesting information from in the drop-down menu and complete the form

Once the form has been submitted and your request has been approved, your documents can be downloaded from the Document Center located in the menu under the My Record section.

For Patients of ºÚ°µ±¬ÁÏÍø HealthCare Saint Katharine Medical Center, formerly KSB Hospital in Dixon, Illinois

To request medical records for services provided ºÚ°µ±¬ÁÏÍø Saint Katharine Medical Center (formerly KSB Hospital) use one of the options below.

Patient Portal:  

Forms:

Special Request & Authorization Forms

Third-Party Authorization Form

If you are a third party and have been authorized to request medical records, you will need to submit an authorization form along with your request.

Request Medical Records from an ºÚ°µ±¬ÁÏÍø Medical Group or Ambulatory Care Setting

If you would like to request records from a doctor’s office visit, please call the office directly. Find your office’s phone number easily by visiting our  and searching for the office.

The quickest way to request your medical records is by requesting them through ºÚ°µ±¬ÁÏÍø MyChart or by using the online forms linked above. However, if you cannot use those options, you can send your request via email or fax using the contact information at the bottom of this page.

Request Medical Records from Substance Abuse Programs

You will need to complete specific authorization forms to request medical records from ºÚ°µ±¬ÁÏÍø Saint Anthony’s Health Center Inpatient Substance Abuse program and SFMC Medication Assisted Recovery Clinic. Once forms are completed, they can be sent via email, fax or mail or hand delivered to the facility. 

PHI Request Attestation Form

Per the Final Rule of the HIPAA Privacy Rule to Support Reproductive Health Care Privacy, when a covered health care provider receives a request for PHI potentially related to reproductive health care, they are required to obtain a signed attestation that the use or disclosure is not for a prohibited purpose. This attestation requirement applies when the request is for PHI for any of the following:

• Health oversight activities
• Judicial and administrative proceedings
• Law enforcement purposes
• Disclosures to coroners and medical examiners