Forms

Please be aware that some information you are requesting may be available via MyChart. 

Online: 

Please complete the medical release form and fax to 630-303-5930 or drop the form off at our office. 

If you need to send records to Suburban Gastroenterology, please click on this link PDF:
To Suburban Gastroenterology

If you need Suburban Gastroenterology to release records to another facility or physician, please click on this PDF:
From SGI-Medical Records Request.pdf

General Information

Please contact our medical records department at 630-527-6450 ext.149 if you have any questions.

Who is authorized to sign for the release of medical records?  

  • The patient or the patient’s legally authorized representative (legal documentation is required).
  • The parent of a patient under the age of 18.
  • A legally-appointed executor or administrator of an estate if the patient is deceased (legal documentation, court order or small estate affidavit, and a death certificate are required).

What health information is available through MyChart? You can view your test results, medications, allergies, previous and upcoming appointments, after visit summaries and more. Please be aware that operative reports are not available via MyChart.