Medical Records
Your privacy matters. Rochelle Community Hospital is committed to keeping your medical information secure and confidential. Medical records are released only with your written authorization or a valid legal request.
Details
For Further Assistance
815-562-2181, ext. 2740 for assistance.
Fax: 815-561-3124
Hours
Monday–Friday: 8:00 a.m. – 4:30 p.m.
Request Medical Records
To obtain copies of your records, complete an Authorization for Disclosure of Medical Record Information form and submit it to:
Rochelle Community Hospital
Health Information Management Department
900 N. 2nd Street
Rochelle, IL 61068
A separate authorization is required for each request.
Fees
Hospitals may charge the following for copies:
- $31.56 processing fee
- $1.18/page (pages 1–25)
- $0.79/page (pages 26–50)
- $0.39/page (pages 51+)
- $1.97/page (microfilm/microfiche)
- Postage (if mailed)
No charge for records sent directly to a physician or healthcare facility.
First set of X-ray films or CDs is free.
Record Pickup
A valid photo ID is required to pick up records. Requests may be denied if identity or authorization cannot be verified.
If no specific documents are requested, you’ll receive a standard record summary, which may include:
- History & physical reports
- Discharge summary
- Operative reports
- Consultations
- Lab and imaging results
- Recent outpatient visits
For deceased patients, legal documentation (e.g., executor paperwork or next-of-kin verification) is required.
Processing Time
Most requests are completed within 10 business days, though state law allows up to 60 days.
