Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with DuPage Medical Group (Duly Health and Care) before sending sensitive documents. FaxFlow is not affiliated with this organization.
DuPage Medical Group (Duly Health and Care) fax number
(630) 873-8797
Release of Information (ROI) / Medical Records
Used for: Authorization for Release of Health Information / Medical Records Request
Fax destination details
- Department
- Release of Information (ROI) / Medical Records
- Purpose
- Authorization for Release of Health Information / Medical Records Request
- Form
- Authorization for Release of Health Information Form — Authorization for Release of Health Information Form
- Address
- 1100 W 31st Street, Downers Grove, IL 60515
- Voice phone
- (630) 469-9200
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete all required patient information, specify the records to be released (e.g., radiology, lab results, charts), indicate date ranges if applicable, select delivery method (fax/email/pick up), and sign. Note that sensitive information may be released; the form also documents expiry and revocation rights.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.