Medical Records

To Receive a copy of your medical records fill out the form below and mail to our office at:
6400 W. College Drive, Suite #200, Palos Heights, IL, 60463, ATTN: Medical Records

There is a $25.99 charge for medical records in PDF format on a CD, please include a check when mailing in the form.  There is a two week minimum turn around time for medical records.

Medical Records Form