{"id":1121,"date":"2017-06-15T10:24:12","date_gmt":"2017-06-15T15:24:12","guid":{"rendered":"https:\/\/aboutsmh.org\/\/?page_id=1121"},"modified":"2023-06-23T12:24:25","modified_gmt":"2023-06-23T17:24:25","slug":"medical-records-request","status":"publish","type":"page","link":"https:\/\/aboutsmh.org\/medical-records-request\/","title":{"rendered":"Medical Records Request"},"content":{"rendered":"\t\t
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Medical Records Request<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\tMedical Record Notice<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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SMH and its affiliates will close on June 16, 2023.\u00a0 We are required to maintain the records and they will be available to patients and their healthcare providers.\u00a0 We want to provide information to access your medical records from any SMH site.\u00a0 Please use the following instructions to obtain your records.\u00a0<\/p>

The SMH Website\u00a0(aboutsmh.org<\/a>)<\/strong>\u00a0contains the Authorization for Use and Disclosure of Health Information.\u00a0 When filling out the form please be sure to list the reason for the request and where we should send the records.\u00a0 Please complete this form and fax it to\u00a0(815)-664-1169\u00a0<\/strong>or mail it to:<\/p>

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SMH<\/strong><\/p>

Medical Records Requests<\/strong><\/p>

600 East First St.<\/strong><\/p>

Spring Valley, Illinois 61362<\/strong><\/p>

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We are unable to accept requests over the phone or by message, but if you have a question related to your records, call\u00a0815-664-1583.<\/strong>\u00a0 Due to volume, please expect at least 30 days to receive your records.\u00a0<\/p>

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.<\/p>

Our business partner, CIOX handles specific types of requests and these are subject to fees in accordance with State and Federal Laws.\u00a0<\/p>

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For Radiology images performed at either hospital, call the Imaging Department at 815-664-1469.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Birth Certificate Requests & Paternity Papers<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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For a certified copy of your birth certificate for Spring Valley births, please contact the\u00a0Bureau County Courthouse Vital Records Department at (815) 875-2014.<\/p>

For a certified copy of your birth certificate for Peru births, please contact the LaSalle County Vital Records Department\u00a0at (815) 434-8202.<\/p>

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\u00a0HERE<\/a>\u00a0and request document HFS 3416.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Other Services<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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To check the status of a request, please use the following numbers:<\/p>

Spring Valley Requests
(815) 664-7316<\/p>

Peru Requests
(815) 780-3464<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Download the Authorization for Use and Disclosure of Health Information Form Below.<\/h5>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\tDownload Form<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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SMH Peru And Spring Valley Will Be Closing All Current Operations As Of Friday, June 16, 2023 At 11:59 P.M.This includes the Hospital, Clinics and other facilities at both locations.\n\nAll portals will be inaccessible after this time.\n\nPatients needing emergency care should call 911.<\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Medical Records Request Medical Record Notice SMH and its affiliates will close on June 16, 2023.\u00a0 We are required to maintain the records and they will be available to patients […]<\/p>\n","protected":false},"author":4,"featured_media":1130,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_cbd_carousel_blocks":"[]"},"acf":[],"_links":{"self":[{"href":"https:\/\/aboutsmh.org\/wp-json\/wp\/v2\/pages\/1121"}],"collection":[{"href":"https:\/\/aboutsmh.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/aboutsmh.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/aboutsmh.org\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/aboutsmh.org\/wp-json\/wp\/v2\/comments?post=1121"}],"version-history":[{"count":30,"href":"https:\/\/aboutsmh.org\/wp-json\/wp\/v2\/pages\/1121\/revisions"}],"predecessor-version":[{"id":27763,"href":"https:\/\/aboutsmh.org\/wp-json\/wp\/v2\/pages\/1121\/revisions\/27763"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/aboutsmh.org\/wp-json\/wp\/v2\/media\/1130"}],"wp:attachment":[{"href":"https:\/\/aboutsmh.org\/wp-json\/wp\/v2\/media?parent=1121"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}