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1030 N Clark St, 4th floor
(312) 943-6964
Forms
To transfer records in, please print this form and send it to your previous doctor. They can fax records to us directly at (312) 943-6924
To transfer records to a new practice or to request a copy, fill out this form online.
If your child needs a sports form, fill out the questions here and you will be emailed the completed form. Please note, they must have had a physical in our office in the last 12 months
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