Medical Records Request

Receive a copy of your medical records.

As a patient of Erie Family Health Centers, the best way to review or copy your medical records for your personal use or for obtaining care from another healthcare provider is by using your myeriehealth.com account. Simply sign in and click on the medical history page. You can print this information.

If you do not have a myeriehealth.com account, you can learn how to open an account by talking to a front desk representative at any Erie site, sending an email to our Help Desk, or clicking to learn more.

You can also receive a copy of your medical records for your personal use or for obtaining care from another healthcare provider.

You can also receive a copy of your medical records by downloading and filling out a copy of the necessary form.

Medical Records Request Form

Once completed, you can drop off the form at any Erie location, or mail it to:

Erie Family Health Center Humboldt Park
2750 W North Avenue
Chicago, Illinois 60647

You may also fax the form to 773.489.0789.

For any questions regarding medical record requests, please call our Health Information Management department directly at 312.432.2055.