Obtaining Medical Records and Billing Records

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) gives you rights over your health information, including the right to get a copy of your information and make sure it is correct.

You can ask to see or get a copy of your medical records and other health information.  If you want a copy, Southern Illinois Healthcare requires your or your personal representatives signed authorization.  We ask for this authorization as a method to confirm your identity.  We do not charge you a fee for the copy. 

To obtain a copy of your medical record or billing record, complete the Patient/Personal Representative Request for Access to Health Information form that can be found below.  You have several options to return this form to us:  1) mail the form to the Health Information Department 2) send us an email with the form attached* 3) bring the form to an SIH or SIH Medical Group Health Information Department.  You will receive your copies no later than 30 days from the date we receive your request.

*Sending your personal health information to an email address is not a secure delivery method and may expose your health information to others.  By choosing this delivery method, you release Southern Illinois Healthcare/Southern Illinois Healthcare Medical Group from any liability involving a potential or actual breach of your health information.

If you're 18 or older, download and complete this form to access medical records and/or bills.

Authorizing Others to Access your Protect Health Information

Use this form to give another individual your rights to access or amend with your medical or billing records.

Request for Personal Representative Form

Request for Amendment of Protected Health Information

You can ask to change any information to your medical record and/or billing record if you think information is missing, inaccurate or incomplete. To request an amendment to your medical record or billing record, download the Request for Amendment of Protected Health Information From found below. You will receive our response to your request within 60 days from the date we receive your request.

Request for Amendment of Protected Health Information Form

Notice of Privacy Practice

For questions or more information, contact Health Information at any of our SIH hospitals or SIHMG:

Memorial Hospital of Carbondale/St Joseph Memorial Hospital
Phone: 618.457.5200 ext. 65460
Email: mhc.healthinfo@sih.net / stj.healthinfo@sih.net

Herrin Hospital
Phone: 618.942.2171 ext. 35126
Email: hh.healthinfo@sih.net

SIH Medical Group
Phone: 618.351.1900 ext. 68756