(217) 342-2121 saecommunications@hshs.org
  • MyChart
  • Careers
  • For Providers
    • HSHS EpicCare Link
    • Credentials Application Request Form
  • Contact
HSHS Hospital Sisters Health System
  • Patients & Guests
    Patients & Guests

    Patients & Guests

    The medical staff, colleagues and volunteers at HSHS St. Anthony's Memorial Hospital are dedicated to making your visit a positive one. It is our goal to eliminate as much stress as possible for our patients and our visitors. Here you will find information about visiting hours, food options, financial services and everything in between.

    Advance Directives
    Ask the CEO
    Calling a Patient's Room
    Campus Map & Information
    Caring Bridge
    Food & Drink
    Gift Shop
    Guest Services
    Medical Records
    MyChart
    Our Chapel
    • Healing Garden
    • Pastoral Care
    Parking
    Patient Financial Services
    • Financial Assistance
    • Billing Information
    • Price Estimate
    Phone Directory
    Prayer Requests
    Pre-Registration
    Pre-Surgical Testing
    Recognize a Colleague
    Visiting Hours
  • Services
    Services

    Services

    Saving lives through advanced medicine. Our team will support you every step of the way should you need additional imaging, treatment or surgery.

    Behavioral Health
    Cancer Care
    • Breast Cancer Rehabilitation
    • Oncology Wellness Program
    • Women's Wellness Center
    Convenient Care
    Diabetes Care
    • Community Diabetes Program
    • Diabetes Self-Management Program
    Emergency Care
    Having A Baby
    • Our YoMingo Baby APP
    • Physician Partners
    • Child Birth Tips and Tools Pages
    • Expectant Parent Education Opportunities
    • Breastfeeding
    • Mother & Baby Program
    • Take a Tour
    Heart Care
    • Cardiovascular Catheterization
    • Cardiopulmonary Rehabilitation
    • Electrocardiogram (EKG)
    • Heart Monitoring
    • Heart Scan
    • Sleep Studies
    • Stat Heart Program
    • Stress Tests
    • Vascular Services
    • Frequently Asked Questions
    • Learn the Facts about Heart Attacks
    Home Health
    Imaging
    • Diagnostic & Health Centers
    • CT Scan
    • Lung Cancer Screening
    • MRI
    • Nuclear Medicine
    • Open MRI
    • PET-CT
    • Ultrasound
    Inpatient Care
    Orthopedics
    • MAKO® Robotic Orthopedic Surgery
    • Bone and Joint Program
    • Continuum of Care
    • Frequently Asked Questions
    Pain Management
    • Your Appointment
    • Conditions We Treat
    • Treatment Information
    Rehabilitation
    • Breast Cancer Rehabilitation
    • Occupational Therapy
    • Oncology Wellness Program
    • Speech Therapy
    • Vestibular Rehabilitation
    • Our Locations
    Sports Medicine
    Surgery
    • Anesthesia
    • da Vinci™ Robot
    • Gastroenterology
    • Physician Partners
    Women's Health
    • Bone Densitometry
    • Mammography
    • Women's Wellness Center
    Wound Care
  • Classes & Events
  • About Us
    About Us

    About Us

    HSHS St. Anthony’s Memorial Hospital in Effingham, Illinois is a regional medical center offering a comprehensive array of health care services to central and southern Illinois.
    Community Connection
    • Becoming a Volunteer and The Hospital Auxiliary
    • Community Partnerships
    • Go Healthy
    • Health Insurance and You
    Hospital Sisters of St. Francis
    Leadership
    Licenses & Accreditations
    Mission & Values
    Our System HSHS
    Publications & Forms
  • Giving
    Giving

    Giving

    HSHS St. Anthony's Memorial Hospital thanks you and the community for all their efforts and donations.
    Events
    Funds Established
    Grateful Patient Program
    Healing Garden Commemorative Paver Program
    Planned Gifts & Friends for Life
  • News
  • Find A Doctor
  • Find a Location
    • MyChart
    • Careers
    • For Providers
      • HSHS EpicCare Link
      • Credentials Application Request Form
    • Contact
St. Anthony's Memorial Hospital About Us Publications & Forms

Publications & Forms

You can mail, fax, or deliver forms to St. Anthony's Health Information department. They are located off campus at 410 North Maple Street, just across from the hospital Lobby visitor entrance. The hours are Monday through Friday from 8 a.m. to 4:30 p.m. A photo identification will be requested to release copies of medical records. The fax number is 217-347-1511. Please call HIM at 217-347-1501 with any questions.

Medical Records

Authorization for Disclosure of Health Information

Authorization to Access Online Medical Records

Patient Request to Access Health Information

Forms

 

Health Assessment Form

Personal Medical Profile Sheet

Maternity Pre-registration Form

Consent for Emergency Medical Treatment Form

Financial Assistance Application

Financial Assistance Brochure

Auxiliary Scholarship Program Application

Publications

 


Wellness Connection Winter 2020

SID Annual Report 2019

SID Annual Report 2018

SID Annual Report 2017

Annual Report 2016

Nursing Annual Report 2018

HSHS Home Care Post Acute Annual Report 2018

Cancer Annual Report 2012

Traditional of Caring History Book

Reflections of our Heritage Architectural Book

The Nursing Sister: A Manual for Candidates and Novices of Hospital Communities (Published 1899)

HSHS Hospital Sisters Health System
Contact HSHS St. Anthony's Memorial Hospital

503 N Maple St
Effingham, Illinois 62401

Dial 911 for medical emergencies
(217) 342-2121

Colleague Remote Access
Colleague Password Reset
Requests for Support

Connect with HSHS St. Anthony's Memorial Hospital

Like Us on Facebook
Follow Us on Twitter
Find Us on YouTube
Find Us on LinkedIn
Make a Donation


Privacy Practices
Patient Rights and Responsibilities
Maternal Health Patient Rights
Legal
Website Terms of Use
Website Privacy Policy

Site Map
HSHS EpicCare Link


© HSHS St. Anthony's Memorial Hospital
HSHS

Hospital Sisters Health System
HSHS Medical Group
Prairie Heart Institute


HSHS Illinois Division

HSHS St. John's Hospital – Springfield
HSHS St. John's Children's Hospital – Springfield
HSHS St. Mary's Hospital – Decatur
HSHS St. Elizabeth’s Hospital – O’Fallon
HSHS St. Anthony’s Memorial Hospital – Effingham
HSHS St. Joseph’s Hospital – Breese
HSHS Holy Family Hospital – Greenville
HSHS St. Francis Hospital – Litchfield
HSHS St. Joseph’s Hospital – Highland
HSHS Good Shepherd Hospital – Shelbyville
St. John's College – Springfield

  • Patients & Guests
  • Services
  • Events
  • About Us
  • News
© 2020 HSHS Hospital Sisters Health Systems | Powered by THE FOURCE