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HealthPort Copy Service DuPage Medical Group 430 Pennsylvania Ave. Glen Ellyn IL. 60137 Ph 630-873-8748 Fax 630-873-8797 AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION The information that you are requesting may be available through your MyChart Account at https //mychart.

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While all our physicians accept Medicare Advantage, the following Duly Health and Care physicians will only see patients who are enrolled in Medicare Advantage plans.

“We wanted to go a little bit beyond the DuPage geography name and create a name that we thought would match more accurately our hope to provide broad access to as many people as possible,” said Steve Nelson, CEO and co-chairman of the board, in an interview. The medical group has been growing quickly in recent years.

The organization's doctors admit to several local hospitals, and the medical group has formal affiliations with Advocate Good Samaritan Hospital, Central DuPage Hospital, Edward Hospital, and Elmhurst Hospital (Edward and Elmhurst recently came together in a merger).

Last summer when Steve Nelson became CEO of the largest independent physician group in Illinois, he brought more than 30 years of payer and provider experience with him.

How to Request Your Medical Records Download the release form in English or Spanish. Complete all sections of the Authorization to Release Client Information. The Authorization must be completed in full, signed by the client or the client's legal representative and witnessed.

Under the terms of the transaction, DMG's physician group, DuPage Medical Group Ltd., will remain 100% physician-owned-and-directed, and DMG physicians will retain a significant ownership stake in the practice management company.

Tami Reller, Chief Executive Officer and Co-Chairman Tami Reller serves as Chief Executive Officer and Co-Chairman at Duly Health and Care.

Today. DuPage Medical Group became Duly Health and Care on September 15, 2021.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232