Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Riveredge Hospital. Before sending anything sensitive, confirm the number and receiving department directly with Riveredge Hospital, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
This appears to be a healthcare destination. Faxes here may contain protected health information (PHI), and a misdirected medical fax can be a reportable privacy breach. Confirm the current number and department with the provider — and send a test page — before transmitting any records.
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Riveredge Hospital fax number
(708) 771-8409
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Health Information Management Department
Used for: Requesting medical records / Authorization to Use or Disclose Protected Health Information (HIPAA release).
Fax destination details
- Department
- Health Information Management Department
- Purpose
- Requesting medical records / Authorization to Use or Disclose Protected Health Information (HIPAA release).
- Form
- medical records release form — Authorization for Release of Protected Health Information
- Address
- 8311 W Roosevelt Rd, Forest Park, IL 60130
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete the authorization form in full (including patient name, birth date, and contact information). Indicate the recipient of the information, the purpose, and the specific records to be released. For minors, a parent/guardian must sign; for ages 12–17 the patient’s signature is also required. The form must be signed and dated. Processing typically takes 7–10 business days; fees may apply for non-abstract requests. Completed authorizations can be returned to Riveredge Hospital, Health Information Management Department, or faxed to 708-771-8409.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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