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Serving the Fox Valley Since 1922

Dreyer Patient Resources

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Online Resources

E-Statement (
View and pay your bill online
MyChart (

Patient Advocacy Team (
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 at 630-906-5120.)
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



Dreyer Pediatricians Host Educational Evening for New and Expecting Parents
Join Dreyer Medical Clinic Pediatricians for “Preparing for Parenthood” on Monday, April 28, 2014 at 6:30 p.m.
Dreyer Physician Earns Certification by Professional Board
Dave Chua, M.D., F.A.C.C., cardiologist at Dreyer Medical Clinic’s Highland and Batavia locations, has been certified by the Board of Nuclear Cardiology.
Dreyer Physicians Elected to Medical Group Board of Directors
Jon E. Christofersen, M.D., was re-elected as Chairman of the Dreyer Medical Clinic physician group Board of Directors. 
Dr. Christofersen currently sees patients in Dreyer’s Occupational Health Services Department.

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