Records/Forms

DuPage Family Medicine was one of the first practices in Illinois to adopt electronic medical recording (EMR), an electronic database which allows us to better serve our patients and cut back on waiting times. We have access to all of your labs, diagnostic images, and consultation or hospital notes with just a click of the mouse without sending away for files and digging through paperwork. Not only does it make patient care easier having instant access, but you can personally access your medical information online at any time. Our patients can use our Patient Portal to see their medical charts in real-time, make appointments, request prescription refills, and even send messages to their doctor.

Registration Form – New patient demographics and health history


Privacy Practices – How we handle your protected health information
Receipt of Privacy Practices – Submit this form along with your other new patient forms at your first visit
Release of Medical Records – To request your medical records: complete, sign, and fax this form to 630-778-4755