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*

Grievance Procedure

*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.

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