Billing and Medical Records

Medical Records

If you would like to request a copy of your medical record, please call our Medical Records Department at 773-878-8200, ext. 5574. If you need a copy of your birth certificate, please contact the Illinois Department of Vital Records>>
Authorization For Release of Health Information Form>>

Click here to access the patient portal>>

Medical Records Office: 773-878-8200, ext. 5574
Medical Records Fax: 773-293-5309


Click here to view Swedish Covenant Hospital's Price Transparency Policy The Healthcare Financial Management Association has developed a guide to help consumers get answers to questions about health care prices, compare prices for a particular service among providers, better understand, plan and manage out-of-pocket health care costs and for people with high deductible plans. 

Understanding Healthcare Prices: A Consumers Guide (English) >>
Understanding Healthcare Prices: A Consumers Guide (Spanish) >>

How to Pay Your Bill

You may receive multiple bills for a single office visit, as some charges originate from your Swedish Covenant Medical Group doctor and other from Swedish Covenant Hospital. In cases in which you receive more than one bill, the doctor and hospital both submit bills to your insurance company.

Swedish Covenant Hospital Bill

For questions about your hospital medical bill, to make a payment or to make financial arrangements, please contact our Financial Service Center at 773-989-3841.

To make a payment in person, please stop by our cashier, located on the first floor of the Galter Medical Pavilion. Office hours are Monday - Friday, 8:30 a.m. to 5 p.m.

If you wish to pay your bill online please go to Patient Online Services.

Swedish Covenant Medical Group Bill

If you want to pay your physician office visit bill with Swedish Covenant Medical Group, call 773-243-2584 or 866-484-1841.

Swedish Covenant Hospital Financial Assistance Policy

Click here is learn about Swedish Covenant Medical Group's financial assistance policy>

Swedish Covenant Hospital offers financial assistance for necessary medical services to eligible patients with limited financial means. Eligibility for financial assistance is based on the hospital’s financial assistance policy and established criteria including family size and income. Eligible patients can receive a discount on hospital charges after the first $300 per service and may not be charged more than amounts generally billed to insured patients for emergency or other medically necessary care.

For more information regarding the hospital’s financial assistance policy or to apply, please select the links below. To apply for financial assistance, print and complete the application below. Mail the application along with required document(s) to:

Swedish Covenant Hospital
Attn: Financial Service Center
5145 N. California Ave
Chicago, Illinois  60625

You may also contact us at 773-989-3841 to mail you an application or visit our Financial Service Center. The department is located in the first floor of the Galter Medical Pavilion and is available to assist you Monday through Friday 8:30 a.m to 5 p.m.  

Please click on the desired language to view our Financial Assistance Policy:


Please click on the desired language to view our Financial Assistance Application:


*Adobe Acrobat required.


Insurance Counseling Services

As a partner in your long-term medical care, Swedish Covenant Hospital offers free counseling services through our certified counselors to guide you through the process of getting insurance. Our counselors are happy to answer any questions you might have about the Affordable Care Act, All Kids, FamilyCare, Moms and Babies, Medicare and other Senior Health Insurance.

All Kids: Health Insurance For All Children

All Kids, formerly KidCare, is a State of Illinois health insurance program that gives uninsured children access to comprehensive, affordable health insurance. Uninsured children 18 and younger in Illinois, regardless of family income, immigration status or medical conditions, may be eligible for All Kids. Some higher income families may be expected to pay monthly premiums and co-pays for some medical services. 

All Kids is not intended to be a substitute for private health insurance. Families with children already receiving a monthly medical card do not need to file a new application. 

Familycare And Moms And Babies: Insurance For Parents And Pregnant Woman

FamilyCare, a State of Illinois health insurance program, offers low-cost health insurance to working parents and relative caretakers living with their children 18 years and younger. Due to recent changes in eligibility effective April 1, 2006, more families now qualify. If you work, have business or childcare expenses or pay child support, you may qualify. 

Pregnant women may also be eligible for Moms and Babies, regardless of their immigration status, with pregnancy verification notice from a physician.

Medicare and Other Senior Health Insurance Information

Swedish Covenant Hospital is a Senior Health Insurance Program (SHIP) site. SHIP is a free, state-sponsored counseling service provided by the Illinois Department of Insurance, which assists Medicare beneficiaries and their caregivers with health insurance problems, planning and questions. 

Make an appointment with our SHIP counselor, who can guide you through problems involving Medicare, Medicare Supplement Insurance, Medicare HMOs, long term care insurance, retiree health plans, claims processing and appealing claims denials.

Contact Us

To schedule an appointment with our certified application counselors, please call 773-293-5900