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 (English)
- Records Release Form (Spanish)
If you are scheduled for a COVID-19 vaccine, please complete the following form and bring it with you to your appointment.
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.)