Medical Records Request
SMH and its affiliates will close on June 16, 2023. We are required to maintain the records and they will be available to patients and their healthcare providers. We want to provide information to access your medical records from any SMH site. Please use the following instructions to obtain your records.
The SMH Website (aboutsmh.org) contains the Authorization for Use and Disclosure of Health Information. When filling out the form please be sure to list the reason for the request and where we should send the records. Please complete this form and fax it to (815)-664-1169 or mail it to:
Medical Records Requests
600 East First St.
Spring Valley, Illinois 61362
We are unable to accept requests over the phone or by message, but if you have a question related to your records, call 815-664-1583. Due to volume, please expect at least 30 days to receive your records.
If you have an upcoming medical appointment, please note the date of the appointment on the Release of Information form. We will make every reasonable effort to send it to your provider before the appointment.
Our business partner, CIOX handles specific types of requests and these are subject to fees in accordance with State and Federal Laws.
For Radiology images performed at either hospital, call the Imaging Department at 815-664-1469.
Birth Certificate Requests & Paternity Papers
For a certified copy of your birth certificate for Spring Valley births, please contact the Bureau County Courthouse Vital Records Department at (815) 875-2014.
For a certified copy of your birth certificate for Peru births, please contact the LaSalle County Vital Records Department at (815) 434-8202.
Certified copies of Paternity papers may be obtained by calling the Illinois State Division of Vital Records in Springfield at 1-(800) 447-4278 or go to the website HERE and request document HFS 3416.
To check the status of a request, please use the following numbers:
Spring Valley Requests