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(630) 584-1400


Please click on the documents below to prepare for your upcoming appointment or surgery.
Please print this form, fill it out, and bring it in with you for your appointment.
DOWNLOAD - Rheumatology Only
If you are having surgery at our in-house Ambulatory Surgery Center (ASC) please download and complete these forms. Fax to: 630-443-2063
ASC Disclosure Form - Please print, initial, and bring in the day of your surgery for your final signature.
Use this form to request medical records. Please note that some records may require a fee. Once completed, fax to: 630-584-1733 or drop it off at one of our three locations.
If you would like to request the completion of a Disability form or FMLA
form, please complete this authorization form, including the fee and drop
it off at one of our three locations, or mail to:
ATTN: Medical Records Department
2525 Kaneville Road, Geneva, IL, 60134
This is for patients who are 17 years or younger and coming with someone other than a parent, please complete this form and fax to 630-828-5999.
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(630) 584-1400Our specialists have the knowledge & experience to get you back to living life.
Providing excellent care, innovative surgeries, at up to 60% less out of pocket cost.
Welcome to Fox Valley Orthopedics’ patient portal.
Providing excellent care with the convenience of being close to home.