Forms & Instructions for Accessing Care at Howard Brown Health
Want to become a Howard Brown patient? Call us at 773.388.1600.
New Patients
Download the New Patient Packet in English
Download the New Patient Packet in Spanish
Request Medical Records – Release of Information Form in English*
Request Medical Records – Release of Information Form in Spanish*
Read Our Patient and Client Guide
Existing Patients
Request Medical Records – Release of Information Form in English*
Request Medical Records – Release of Information Form in Spanish*
Patient Record Copy Fee Notice
For patient grievance, fill out this Grievance Procedure form, or use this online portal.
*Please be advised there may be a fee associated with records requests. For a patient’s own first request for records, the first fifty (50) pages are free; any request for more than fifty (50) pages incurs a $20.00 charge. Other records requests may incur a charge at a rate set by federal guidelines or Illinois statute.