Records & Birth Certificates

Records & Birth Certificates

Patient care records

Medical Records

Our Medical Records Department keeps a complete record of the care you receive at Little Company. These records are maintained for 10 years. Unfortunately, we cannot help with medical records requests dating back further than 10 years.

 

You can download a pdf version of the Medical Records Request Form here. Print it out, fill it in completely and bring it with you to our office or mail the form to:

 

Medical Records Department

Little Company of Mary Hospital and Health Care Centers

2800 W. 95th Street, Evergreen Park, IL 60805

 

The office hours are:

 

Monday through Friday - 9 a.m. to 5 p.m.

We are closed weekends and holidays.

 

Please bring a photo I.D. There will be a charge for this service. Little Company of Mary has contracted with ScanStat Technologies to provide Medical Record copies.

 

For more information you can call us at 708.229.5200. You can also go to the Contact Us page to leave questions. Select "Medical Records" from the pull-down menu.

 

Federal law requires you complete the authorization form before we can fulfill your request.

 

Birth Certificates

Birth certificates can be retrieved from the Evergreen Park Village Hall. We do not keep birth certificates at Little Company.

 

To send a request you must contact the Village Hall by mail. Mail a request with a name, date of birth, mother's maiden name and married name, father's name, daytime phone, copy of picture ID, a self-addressed stamped envelope, and the payment in a money order or certified check. The cost is $10 for the first copy, $2 for each additional. Send your request to:

 

9418 S. Kedzie
Evergreen Park, IL 60805

 

Open: 

Monday - 9 a.m. to 8 p.m.
Tuesday, Thursday, Friday - 9 a.m. to 5 p.m.
Wednesday, Saturday - 9 a.m. to 12 p.m.

 

Visit the Village of Evergreen Park website or call 708.422.1551 for more information. For more information about obtaining birth certificates, click here.


 



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