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DREYER PATIENT RESOURCES

Dreyer Patient Resources

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Online Resources

E-Statement (dreyermed.com/estatement)	View and pay your bill online
MyChart (dreyermed.com/mychart)
Patient Advocacy Team (dreyermed.com/quality)	Submit feedback regarding care or services (For billing issues please contact the Business Office.)

Forms (Please print and bring a copy to our office)

Authorization for Treatment of Minors - English
Authorization for Treatment of Minors - Spanish
Change of Primary Care Physician	BCBS
Coordination of Benefits
Forms Completion Authorization
Forms Completion Authorization - Spanish
Medical Records Request Form - English	(For Psychiatry records, please contact the Psychiatry Department.)
Medical Records Request Form - Spanish
Patient Demographic Form - English
Patient Demographic Form - Spanish
Patient Registration - English	Please print out, complete, and bring to our office.
Patient Registration - Spanish
Verbal Disclosure - English	Authorizes Dreyer to discuss your health information with a designated family member or representative in person or over the phone.
Verbal Disclosure - Spanish

Information

2012 Patient Handbook
2008 Patient Handbook - Spanish
Advance Directives Booklet, "A Personal Decision"	(Provided by the Illinois State Medical Society.)
Financial Resources
Notice of Privacy Practices
Patient Rights and Responsibilities
Preventive Screenings
Utilization Management

News

Dreyer Welcomes New Hospitalist

Julianna E. Eshbach, M.D. has joined Dreyer’s Internal Medicine department as a Hospitalist.

Dreyer Welcomes New Hospitalist

Neha Adatia, D.O., has joined Dreyer’s Internal Medicine department as a Hospitalist.

Dreyer Medical Clinic Announces Two New Vice Presidents of Operations

Dreyer Medical Clinic is pleased to announce Leslie Dockan, R.N., B.A., and Debbie Schwartz, R.N., B.A., M.A. as the new Vice Presidents of Operations. Ms. Dockan was previously the Director of Process Improvement, and Ms. Schwartz was the Site Director of Dreyer’s West Aurora location.

Related Links

MyChart Pay My Bill Online

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