Chitown HH Medical Records Request Procedures 3/11/25

Medical records of clinical visits are available through Chitown HH. You may fax a request form to Chitown HH Medical Records at 312-275-7811 or send by email attachment to records@chitownhh.com which must include the following:

Mutual Medical Provider Requests:

  • Patient name

  • Patient Birth Date

  • Name of requesting provider

  • Name of contact person at requesting provider

  • Provider Medical Group or facility

  • Address of Medical Group/Facility

  • PCP name at medical group if any assigned

  • Phone and fax number of medical group/facility

  • Statement of specific records required, including date range

Records Service Vendor:

The same information as above is required in addition to the contact information for the records service to include individual contact name and phone number.

Legal/administrative claim or potential claim, include:

  • Name of lawyer or other representative

  • Law firm or entity requesting

  • Address

  • Phone and fax contact

  • Tribunal if which claim is pending, if any

  • Claim or case # in tribunal

  • Type of claim

  • Lawyer or requesting entity office internal file #

  • Release signed by patient or representative authorizing release to

  • requesting provider

  • Relationship of representative to patient

  • Printed name of representative

Records can be delivered by fax, U.S. Mai, or picked up in person. Records can be sent by email if the patient or representative waives HIPPA protections. Specify delivery means in the request form. Records requests are usually filled within 5-7 business days of receipt. Verbal requests are not accepted unless the requesting entity/individual is an active direct provider of medical care to patient.

Questions about medical request procedures can be sent by email to

records@chitownhh.com