Patient Forms - OB/GYN

How to Request Medical Records
Click the office you visit for the appropriate Medical Records form Print and fill out the Release of Information (ROI) Form. You may submit your request:

• Via fax to 312-926-3093 (Attention: Health Information Management)
• Via mail to Health Information Management, 541 N. Fairbanks, Suite 1475, Chicago, IL 60611
• In-person at the office you visit. If you need to speak to a NMPG representative about the status of your request please call 312-926-3627 (DOCS)

Click on the office you visit for the Medical Records Form

• Streeterville
• Deerfield
• Lake Forest - Robert Hartman, MD, FACOG