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*
*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.