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Request Your Records

Patients & Guests

 

Medical Records

The Medical Records Authorization Form is required for Silver Cross Hospital to release information from your medical records to any other person or organization. The form must be signed, dated, and returned by mail or in person to be valid. Upon completion, return the signed and dated form to:

Silver Cross Hospital Medical Records Department
1900 Silver Cross Blvd.
New Lenox, IL 60451

Note: You may leave the last line of the form and the number of pages released blank; Silver Cross Hospital will complete this information when your records are released.

Medical Records Authorization Form (English version) - Download PDF

Medical Records Authorization Form (Spanish version) - Download PDF

Request for a certified copy of the Voluntary Acknowledgement of Paternity - Download PDF

Medical Records Fax number : (815) 300-7926

Medical Records: (815) 300-7505 (Please leave a message and your call will be returned.)

 

Birth Certificate

For a copy of your original birth certificate, please contact the Will County Clerk's Office at (815) 300-4615.