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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



Corlyne Mulder, M.D., joins ENT at Advocate Dreyer
Aurora, Ill – Corlyne Mulder, M.D. has joined the Department of Otolaryngology (Ear, Nose, & Throat) at Advocate Dreyer’s Highland and Rush-Copley Campus locations
Advocate Dreyer Pediatricians Host Educational Evening for New and Expecting Parents
Join Advocate Dreyer Pediatricians for “Preparing for Parenthood” on Wednesday, September 3, 2014 at 6:30 p.m.
Dreyer Welcomes Ami Shah, M.D. to Hospitalist Team
Ami Shah, M.D., has joined Advocate Dreyer as a Hospitalist. Dr. Shah received her undergraduate degree from Northwestern University in Evanston, Illinois in 2007,

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