Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with St. Bernard Hospital and Health Care Center before sending sensitive documents. FaxFlow is not affiliated with this organization.
St. Bernard Hospital and Health Care Center fax number
(773) 962-4219
Health Information Management Office
Used for: Medical records release / copy of patient records (release of information)
Fax destination details
- Department
- Health Information Management Office
- Purpose
- Medical records release / copy of patient records (release of information)
- Form
- Authorization for Use or Disclosure of Patient Information — Authorization for Use or Disclosure of Patient Information
- Address
- 326 W. 64th St., Pavillion – Suite 205, Chicago, Illinois 60621
- Voice phone
- 773-962-4089
- 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.
Download, fill out, sign, and send to the Health Information Management Office; you may also fax your request to 773-962-4219. Processing time for medical records is 10–15 business days.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.