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• If you are requesting the records to be transferred to another healthcare facility, the fees are as follows: Free of chargeNOTE: You must provide the full address of the healthcare facility, including the city, state and zip code.
• If you need a copy of your medical records for your insurance company, attorney or any other 3rd party or agent, the fees are as follows:Basic Fee: $26.77 and $1.00 per page for the first 25 pages, $0.67 per page for pages 26-50, and $0.33 per page for pages 51+, plus shipping & handling (if applicable).
Lake County Health Department and Community Health Center
Privacy Officer3010 Grand Ave.Waukegan, IL 60085847-377-8592, Option 3
Office of Civil RightsU.S. Department of Health and Human Services
233 N. Michigan Ave., Suite 240Chicago, IL. 60601Phone: (312) 886-2359; (312) 353-5693 (TDD)http://www.hhs.gov/ocr/privacy/hipaa/complaints/index.html
All complaints must be submitted in writing and addressed to the PRIVACY OFFICER. We support your right to protect the privacy of your medical information. We will not retaliate in any way or refuse services if you choose to file a complaint with us or with the U. S. Department of Health and Human Services, Office of Civil Rights.