Requesting Archival Records or Historical Information

If you are looking for patient MEDICAL RECORDS please click here. 

This form will assist you in communicating with us about requests for historical information. We respond to inquiries relating to the history of Alexian Brothers Immaculate Conception Province and sponsored ministries in the United States. This includes records of the religious congregation, records of the facilities and programs, and records of the Alexian Brothers Hospital Schools of Nursing. The staff cannot conduct extensive research for persons outside of the religious community and its institutions, however simple requests for information will be considered. As a private archives, records are confidential and access to them is restricted.

Please complete the following as fully and as accurately as possible. Fields with asterisks (*) require input. Information you provide is used solely for the purpose of the request and is kept confidential.

First Name * : 
Last Name * : 
Organization or Company : 
Address * : 
City * : 
State * : 
Zip * : 
Country if outside U.S.
Day Telephone * : 
Email * : 
Research purpose and details * : 

Please check for accuracy before submitting, and enter the words as written into the box below. Thank you