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
Fax: 630-692-5970
For questions, please call 630-692-5950.
(Please note we are unable to accept walk-in requests.)