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Records & Forms

 
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Patient Information

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  • Why Everyone Needs a Primary Care Provider
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Records & Forms

  • Download the Patient Portal Proxy Access Form
  • Medical Release Authorization Form

Record & Imaging Release Requests

Please call (217) 366-9656 and a Health Information Management team member will assist you. For the safety of our patients and team members, the Records Release office is currently closed to the public due to COVID-19. Records & Imaging Release assistance is now only provided over the phone.

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

 

"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 MyChristie 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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