Insurance and Forms

Insurance information

For your convenience, Chicago ENT at the Advanced Center for Specialty Care accepts most insurance carriers. As a courtesy to our patients, we will be happy to file charges to your insurance carrier, including the verification of your benefits and pre-authorizing any procedures with your insurance company.

Be sure to bring your insurance cards and a photo ID with you to your appointment so that we may photocopy them for our records.

Also, please remember the responsibility of the entire balance is yours.

Participating Insurance Plans

Patient forms

Medical records request form

Please click the link below to access the Medical Records Request form. You may fax your completed Medical Records Request form to 773-296-3800 or email [email protected]. Please allow up to 30 days for processing.

Form To Request Records FROM Chicago ENT

Form To Request Records Sent TO Chicago ENT