Medical Record Forms


 
  1. Release to obtain Medical Records from another facility or physician
  2. Release of Medical Records to another facility or physician

We understand many of our patients may not have the capability to print our forms. In this case, we will have them ready and available for you at the time of your appointment. 

    Location
    Highland Park Ob-Gyn Associates
    60 Revere Drive, Suite 750
    Northbrook, IL 60062
    Phone: 847-272-7777
    Fax: 847-272-7709
    Office Hours

    Get in touch

    847-272-7777