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How To Request Your Medical Records

If you would like to obtain a copy of your medical records, please download and complete an Authorization for Release Form. (Note: For Google Chrome users: Once you’ve completed filling out the online PDF, select ‘Print’ in top-right of Chrome browser, then from ‘Destination’ drop-down select ‘Save as PDF’, then click ‘Save’. Then email saved file to medicalrecords@athletico.com, or Print paperwork and mail/fax.)

Options for submitting forms include mail, fax, email or from any of our clinic locations:

We will respond to your request for medical records within 30 days of receipt. Athletico may charge a reasonable fee for the preparation of your medical records plus postage for mailing the copy to you.

For questions regarding your medical records request, please call 630-280-2812 between the hours of 7:30 a.m. – 4:30 p.m., Monday – Friday.

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