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Medical records request

Access your medical records online

Mercyhealth MyChart allows you to view and print your health information, including provider notes, test results, visit summaries, medical history, medication list, allergy list, immunizations and more. MyChart is secure, easy to use, and available any time of the day or night.

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Obtain copies of your medical records

If you're a patient in Rock County, Walworth County or McHenry County

Print, complete and submit this Medical Record Release Form or Spanish Medical Record Release Form to:

Fax: 608.756.6579

Address: Health Information Management–CiOX
1000 Mineral Point Ave, PO Box 5003
Janesville, WI 53547

If you have questions, call 608.756.6751.

If you're a patient in Winnebago County, Ogle County or Boone County

Print, complete and return this Medical Record Release Form or Spanish Medical Record Release Form to:

Fax: 815.961.9761

Address: Health Information Management–CiOX
2400 N. Rockton Ave.
Rockford, IL 61103

If you have questions, call 815.971.2710.