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. Then the email saved file to medicalrecords@athletico.com, or print paperwork and mail/fax.)

• English Authorization for Medical Release Form
• Spanish Authorization for Medical Release Form
• Polish Authorization for Medical Release Form
• Mandarin Authorization for Medical Release Form
• Arabic Authorization for Medical Release Form

Options for submitting forms include mail, fax, email or you’re welcome to drop
off your printed form to any of our clinic locations:

• Athletico Medical Records
  2122 York Rd., Ste. 300
  Oak Brook, IL 60523
  Fax: (630) 280-2912
  Email: medicalrecords@athletico.com

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.