309.454.5552
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Ft. Jesse Imaging & Gale Keeran Center for Women

2200 Fort Jesse Road
Suites 120 & 130
Normal, IL 61761

Hours
Phones answered live: Monday – Friday 8am – 5pm
MRI: Monday-Friday 7am – 8pm; Saturday 8am – 2pm
US & CT: Monday-Friday 8:30am – 5pm
Mammography: Monday-Friday 7am-6pm; Saturday by appointment 8am - 2pm
Bone Density: Monday-Friday 8am – 5pm

Contact
Phone: 309-454-5552
Fax: 309-454-5452

 

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Request Medical Records

Get in touch with us!

If you are looking to set up an appointment or request your medical records, please fill out the appropriate form below. If you are a referring provider or staff, please log into Provider Link, our online portal.

Request An Appointment

ALL EXAMS, with the exception of screening mammography, require a physician order to complete. We can not perform the exam without the complete and signed order. Please contact your physician to request an imaging order be sent to our team.

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Request Medical Records

Patients only can request medical records by completing the form below.

Requests by attorneys or others for legal purposes must be submitted via ChartSwap. Click Here for More Information

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ChartSwap

Fort Jesse Imaging Center uses ChartSwap to fulfill legal medical records requests. ChartSwap is a HIPAA-compliant platform launched to facilitate electronic medical and billing record exchange between medical providers and law firms, and other requesting parties.  It’s free to register and requestors can use ChartSwap to request, track, pay for and download records.  To submit requests via ChartSwap.com use the following steps.
  1. Register at http://www.chartswap.com/register as a Record Requestor;
  2. Sign in and Search for a Provider, Enter Request Details, then Upload Supporting Documents;
  3. Once your request has been reviewed and records are available, you will receive a notification and invoice, which you can pay with a check or credit or debit card.