The Medical Records Department is available to fulfill requests for medical information. A nominal fee may be charged for copies in accordance with state guidelines, except those directly sent from Passavant Area Hospital to another health care facility, doctor's office or hospital.
To protect confidentiality, the patient must complete and sign a Release of Information form before any information is released. If a person elects to pick up records, identification (drivers license or photo ID) will be required.
The paper form is available in the Medical Records Department. The form is also available electronically in PDF format.
HIPAA Authorization to Use and Disclose Health Information (Medical Release Form)
Completed forms can be:
- Faxed to 217-243-5476
- Mailed to 1600 W Walnut, Jacksonville, IL attn: Health Information Management
- Personally delivered to Passavant Area Hospital
The Medical Records Department's hours are Monday through Friday, 8 a.m. to 4:30 p.m.
Birth Certificate Requests
Please contact the Morgan County Clerk's Office with birth certificate requests. Call 217-243-8581 or visit MorganCounty-IL.com.