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Request Medical Records

How to Obtain Medical Records

To obtain copies of your medical record, you will need to complete an Authorization for Release of Health Information form.

  1. Download the form authorizing DuPage Medical Group to release your Health Information, available here:
    1. Authorization Form for Release of Health Information
    2. Autorización para Divulgar Información de Salud (Español)
    3. Instructions for Completing the Authorization
    4. RecordConnect Information Letter
  2. Complete the Authorization, indicating the records you are requesting.
  3. Sign and date the Authorization. Completed forms can be mailed to:

         DuPage Medical Group
         Attn: RecordConnect Copy Service
         801 Ogden Avenue
         Lisle, IL 60532

Please allow 7 to 14 days for processing.

If you should have any questions:

Please contact RecordConnect Copy Service with any questions or concerns and staff will be available to assist you.

Phone: (630) 873-8748

Hours of Operation

Monday through Friday, 8am-5pm

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