Mon to Thu: 9:00am to 6:00pm and every other Sat 9:00am – 3:00pm
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24821 w 135th St, Plainfield IL 60544
Medical Records
Patient Information
Medical Record Requests
How to Obtain Your Records
If you need to request a copy of your medical record, please send your request via the USPS. A handwritten signature, date, and a copy of your State ID are required for all record requests to ensure patient security and privacy.
HIPAA Compliance & Record Types
Please note that per Federal HIPAA Law (45 CFR 164.524(a)(2)), FBH is not required to release Psychotherapy or Process Notes. However, we can provide:
- Diagnoses & Medicine History
- Laboratory Results (if applicable)
- Non-Psychiatric / Non-Psychotherapy Medical Data
Who is Authorized to Sign?
- The Patient: Or the patient’s legally authorized representative (legal documentation required).
- Parents: Of a patient under 18. (Note: Patients 18 or older must submit their own HIPAA request).
- Executors: A legally-appointed administrator of an estate for a deceased patient (death certificate and court order required).
Record Request Fees
The HIPAA Privacy Rule (45 CFR 164.524(c)(4)) permits covered entities to charge a reasonable, cost-based fee for labor, supplies, and postage.
FBH will WAIVE ALL FEES for an OFFICIAL FBH SUMMARY LETTER (contains Diagnoses, Medicines, and Labs).
*Fee waiver applies only to Official Summary Letters sent to you or your new provider at no cost.
