Medical Records
We want to make it as easy as possible for you to get a copy of your medical record. There are several options below to make the process convenient. Please note that in compliance with state and federal laws, all requests must be submitted in writing, completely filled out and signed.
How to request your medical record
There will be a nominal charge for copying. It is based on the amount of pages to be copied. However, if records are being sent to another physician, the fee will be waived.
Submit the Form
The completed and signed form may be mailed, faxed, or delivered to:
Ferrell Hospital
Medical Records Department
1201 Pine Street
Eldorado, IL 62930
Phone: 618-273-3361
Fax: 618-273-5212
Birth Certificates
To request a birth certificate, please contact the Saline County Circuit Clerk's Office:
10 East Poplar Street
Harrisburg, Illinois 62946-1553
Phone: 618-253-5096
Fax: 618-253-3904
How to request your medical record
- Download the release form for Ferrell Hospital
- Download the release form for Ferrell Hospital clinic locations
- Stop by the Medical Records Department
- Have it mailed to you by completing the email form below
- Call us at 618-273-3361 ext. 1200
There will be a nominal charge for copying. It is based on the amount of pages to be copied. However, if records are being sent to another physician, the fee will be waived.
Submit the Form
The completed and signed form may be mailed, faxed, or delivered to:
Ferrell Hospital
Medical Records Department
1201 Pine Street
Eldorado, IL 62930
Phone: 618-273-3361
Fax: 618-273-5212
Birth Certificates
To request a birth certificate, please contact the Saline County Circuit Clerk's Office:
10 East Poplar Street
Harrisburg, Illinois 62946-1553
Phone: 618-253-5096
Fax: 618-253-3904