Shorten your wait time. Complete the following forms and bring them with you to your first visit.
- MyChart Request Form
- MyChart Teen Proxy Form
- MyChart Adult Proxy Form
- Registration Form (English)
- Registration Form (Spanish)
- Records Release Form
If you need our office to release your records, please fill out the records release form and mail or fax it to:
Rush Copley Health Information Management
1256 Waterford Drive, Suite 230
Aurora, IL 60504
For questions, please call 630-692-5950.
(Please note we are unable to accept walk-in requests.)