Requesting copies from your McKinley Medical Records
To request information from your McKinley medical records, you must submit a written authorization for release of your records.
Click here for a printable copy of McKinley’s Authorization for Disclosure of Confidential Health Information
form. Complete all sections of this form and mail or fax the form to:
McKinley Health Center
Medical Records Department
1109 South Lincoln Avenue
Urbana, Il 61801
Fax: (217) 244-6495
Important Note: The following information will not be released
from your records unless specifically authorized by you on the form:
- HIV/AIDS information as defined by Illinois Statute.
- Alcohol and/or drug abuse treatment information protected under 42 Code of Federal Regulations.
- Mental health records as defined by the Illinois Mental Health and Developmental Disabilities Confidentiality Act. Requests for mental health records also require a witnessed
To specifically authorize release of records including the information listed above, check the appropriate boxes on the McKinley authorization form.
Release of the requested information could take up to 2 weeks. Please indicate specific deadlines if the information is needed sooner, i.e. you have an appointment with a non-McKinley provider, need immunization records for school registration, etc.
You may call the McKinley Medical Records Department at (217) 265-0798 if you have further questions.
Requesting copies of records from another provider:
You may use McKinley’s Authorization for Disclosure of Confidential Health Information form to request that another provider send records to your provider at McKinley. Click here
for a printable copy of the form; complete all sections and mail or fax the form to your provider.
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