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

Download the Patient and Client Guide

Request Medical Records – Release of Information Form in English*

Request Medical Records – Release of Information Form in Spanish*

Existing Patients

Download the Annual Patient Packet in English

Download the Annual Patient Packet in Spanish

Download the Patient and Client Guide

Request Medical Records – Release of Information Form in English*

Request Medical Records – Release of Information Form in Spanish*

Grievance Procedure

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*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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