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Patient Records

Patient Records

For the convenience of our current and former patients, we are pleased to provide the ability to download forms you can use to request your medical records.

Request Records From Human Service Center

Simply download the PDF below and mail or fax your request to Human Service Center.
Patient Authorization for Release of Information Form

Mailing Address
Human Service Center
PO 1346
Peoria, IL 61654-1346

Phone Number
(309) 671-8005

Fax Number
(309) 671-8021

Frequently Asked Questions

  • All records are retained for 10 years, hospital records may be retained for up to 25 years based on state and federal requirements.
  • All Birth/Death Certificates must be requested through the County Courthouse.
  • There may be minimal costs associated with certain types of requests.



Experiencing a Crisis?

For life-threatening concerns, call 911 or be taken to your nearest emergency department.

For mental health and substance use crisis support and resources, contact:

Trillium Place Crisis Services, available 24/7:

Peoria County - (309) 671-8084
Tazewell & Woodford Counties - (309) 347-1148

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Not Sure Where to Get Started?

Begin by contacting a member of our team today. Call (888) 311-0321.