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Records & Forms

GET DIRECTIONS

 
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In This Section

Patient Information

  • Telehealth
  • Records & Forms
  • Online Comment Card
  • The Christie Clinic Patient Experience
  • Accepted Health Plans
  • Contact Us
  • Online Bill Pay
  • Why Everyone Needs a Primary Care Provider
  • Patient Education
  • Christie Clinic CareSignal
  • Surprise Billing Act Notice
  • Healthcare Credentials
  • Back to School Physicals
  • 10 Ways to Make the Most of Your Provider Appointment
  • Welcome to Christie Clinic
  • Preventive Visit vs. Problem Visit
  • Approved Prescription Drug Drop Sites
  • Location & Department Phone Numbers
  • Patient Bill of Rights

Records & Forms

  • Authorized Relative Certification Form
  • Download the Patient Portal Proxy Access Form
  • Medical Record Release Authorization Form

Record & Imaging Release Requests

Christie Clinic is excited to offer our patients the ability to request their medical records safely, securely and conveniently through their patient portal. No calls to make, no forms to sign – simply log into your patient portal, click Menu then My Records, click Request Medical Records and complete the form. Your medical records will be sent to you via the method you select. Your request will be processed and on its way to you within 3 – 5 business days.

Connect to your patient portal.

Alternatively, you may call (217) 366-9656 and a Health Information Management team member will assist you. 

Click here to access the Medical Record Release Authorization Form and Instructions

Pick-Up is Curbside

Christie Clinic Medical Records Pick-Up
211 W Clark St
Champaign, IL

Please park in the marked space (see parking space sign below), stay in your car and call the number listed on the sign.

GET DIRECTIONS

"I was traveling and needed a copy of my immunization records. After one quick call to Christie Clinic Health Information Management, they were able to push my records to my patient portal so I had all the information I needed without disrupting my travels." -Doug

Record & Imaging Copy Fees

There are no fees associated with requests for records to be sent directly to another medical provider outside of Christie Clinic; however, there may be fees associated with requests sent to you or someone who is not a medical provider. For certain requests from third parties, Christie Clinic uses a third party copy service, HealthMark Group, to ensure timely service and greater access to medical record copies. Copies can be provided in paper or electronically (email, CD, flash drive, upload). 

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