Medical Records Request

Medical Records Request

To request your medical records released from Midwest Medical Center

Please mail or fax the completed authorization to:

Midwest Medical Center

Attn: HIM Department

1 Medical Center Drive

Galena, IL 61036

Fax: 815-777-2671

 

To request your medical records be released to Midwest Medical Center

Please mail or fax the completed authorization to:

Midwest Health Clinic

Attn: Midwest Health Clinic/Provider Name (if known)

1 Medical Center Drive

Galena, IL 61036

Fax: 815-776-7385

Release of Information Forms