Menu
At Zahav of Des Plaines, we prioritize your privacy and security. If you need to request your medical records, we’ve made it simple and convenient. Please follow the steps below to ensure your request is handled swiftly and in compliance with HIPAA regulations.
* please do not fax requests for medical records.
Download the Request Form
To request a copy of your medical records, please download the official Request Medical Records Form (PDF).
Complete the Form
Fill out the form with your necessary information, ensuring all required fields are completed.
Submit the Form In-Person
To maintain HIPAA compliance and protect your personal health information, we cannot accept completed forms via email or fax. Once you have filled out the form, please bring it to our facility in person during regular business hours.
Our Address:
Zahav of Des Plaines
9300 Ballard Road
Des Plaines, IL 60016
Questions?
If you have any questions about the process, feel free to contact us 847.294.2300 or visit our facility directly.
Thank you for trusting Zahav of Des Plaines with your healthcare needs!