For Our Patients

CORE Orthopedics & Sports Medicine has four well respected physicians. Athletic injuries and on-the-job accidents causing minor or severe injury are treated expertly at CORE in the office or in a hospital.

Our physicians review all possible non-surgical treatment options with the patient and work closely with physical therapists and trainers in-house to get the athletic back on the playing field or the worker back to work.

If surgical intervention is needed then the latest techniques and facilities are available at four hospitals in the western suburbs of Chicago.

Patient Checklist

Please be familiar with this checklist before your office visit.

What To Wear

Patients having Hip or Knee examinations:
Please bring or wear shorts (without metal*) for X-rays and examination.

Patients having Shoulder or Back examinations:
Please wear a tank top under shirt.

What To Bring

✓ If you’ve had an X-Ray or MRI, bring the CD or films. This is very important!

X-rays taken at Alexian Brothers, St. Alexius or Good Shephard can be viewed online, but studies taken elsewhere need to be brought in at time of appointment in order to prevent rescheduling of appointments.

✓ Photo Identification

✓ Insurance Card

✓ Co-payment

✓ Please bring your medication and past medical history list with you to your next appointment.

**Any patient under 18 years of age MUST be accompanied by a Legal Guardian with Photo ID or an adult older than 18 years of age with the approved Minor Consent form by the legal guardian authorizing treatment AND a copy of the parent’s driver license.

Patient Forms

All Patients

Please read and acknowledge our Privacy Notice to understand how CORE may use and share medical information about you, to learn what your rights are as a patient and what duties CORE has regarding the use and disclosure of medical information.

Please fill out the following 2 forms before your appointment.

Preferred Communication Method

Privacy Notice (HIPAA)

Spine Patients Seeing Dr. Krob

New patients seeing Dr. Krob are asked to print and fill out the Spine Intake Form and bring it to your first appointment to save time when you arrive and to be able provide thorough care.

You may also download and fill out the form digitally and email it back to us before your appointment.

Spine Intake Form

As the parent or legal guardian of a patient under 18 years of age, if you are unable to attend your child’s visit, you much fill out and sign our Minor Consent form.

Please download and read the form thoroughly before filling and sending it with your child the day of their appointment.

Consent Form for Minors

Preparing For Your Joint Replacement Surgery

Preparing for Joint Replacement Surgery at the Hospital: Patient Instructions and Checklist

Preparing for Joint Replacement Surgery at Geneva Surgical Suites: Patient Instructions and Checklist

Pre-Surgery Checklist for non-joint replacement surgery at Geneva Surgery Center

Outpatient surgery checklist, clearance, and lab orders for Amita Medical Center and Good Shepherd Hospital

Requesting Medical Records

All medical records requests are handled by Datavant.

Patients

Patients requesting copy of medical records should click on the patient medical records request button below. Datavant can also send you a text with the link to request records, please call 847-242-2836.

Request Patient Medical Records

Davatant Pricing – English

Davatant Pricing – Spanish

Attorneys

Attorneys requesting copy of medical records, please click on the legal medical records request button below. Once you click on the link, you can either log in or sign up for a Datavant/Ciox account. You will upload your subpoena or request on the portal. Once processed you will be able to pull the requested records down from the portal.

Request Legal Medical Records

For any issues on the portal OR to check the status of your submitted request, please contact Datavant Customer service at 800-367-1500.