Complete information about medical provider from whom medical records are requested. It is important to put your choice of agent in writing.The written form is often called an "advance directive". Complete new patient forms in advance. Please select and print from the options below, fill them out completely and bring them with you to your appointment. Download an authorization form to allow UChicago Medical Center to release your health information. INSTRUCTIONS: Please complete this Authorization in its entirety. Illinois Department of Financial and Professional Regulation. Physicians License Renewals, License Look Up, File a Complaint. To request a copy of your medical records: Fill out the Medical Record Authorization Release form, click on the link below to download.