MidAmerica believes that patient education is vital to providing the highest quality of hand and upper extremity care. Please visit our animated patient education center to learn more about common conditions treated and procedures performed by our specialists.
We welcome patients from Oak Lawn, Worth, Evergreen Park, Burbank, Alsip, Bridgeview, Frankfort, Tinley Park, Orland Park, Homer Glen and New Lenox.
Downloadable patient forms can save a great deal of time by allowing you to download all of the forms needed in advance of your visit.
You can fill out the forms at your leisure and with all of your paperwork - insurance, prescriptions, etc. - within easy reach. This means the forms will be filled out more completely and accurately.
Notice
Please fax all FMLA/Disability forms to:
(708) 581-4620
MidAmerica Patient Forms
Download Your Patient Forms
For Patients of Dr. Brisbin, Dr. Chapman, Dr. Fakhouri, Dr. Gourineni, Dr. Kronen, Jeremy Bell PA-C and Kelly Hermann PA-C
The HIPAA Privacy Notice describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information in some cases. You will be given a copy of our HIPAA Privacy Notice prior to your visit, and be asked to sign that you received it.
Our medical team has unmatched knowledge and expertise in treating all musculoskeletal conditions, occupational injuries and sport medicine from a non-operative and operative perspective.
The Mission of MidAmerica Orthopaedics is to foster hope, healing, and well-being through our compassionate team-delivery approach by trusted experts who are committed to restoring the quality of life to individuals of all ages.
Our Mission is to foster hope, healing, and well-being through our compassionate team-delivery approach by trusted experts who are committed to restoring the quality of life to individuals of all ages.