FOR A COPY OF YOUR MEDICAL RECORD: 

PRIOR TO OUR CLOSE ON 12/31/17

For a copy of your medical record to be sent to the physician of your choice, there is no charge. Please send in a medical record release to our office and this will be performed for you. 

For a copy of your record for pick up, please send in a medical release form and $25 

For a copy of your record for mailing, please send in a medical record release form and $35

AFTER 12/31/17

Lake County ENT/ Head and Neck Surgery, Drs. Johnson, Kruper, Desai and Nelson, will be the custodian of your medical record. Please contact them for a copy of your record after 12/31/17 and instructions.  Their phone number is 847-662-4442. Should you be transfering your care to them, they will not need an extra copy of your record as they will have it. 

MEDICAL RECORD RELEASE FORM: 

To be published here shortly, otherwise please call the office at 847-549-8200 to have one sent to you or use the one sent to you by email and or snail mail.