Prior to Your Visit

To assure optimal patient care, we ask that pertinent medical records, radiology and pathology reports, and current medication lists be sent or faxed to our office prior to your patient’s visit. Radiographs and biopsy material for review may also be sent to the following address:

University of Illinois at Chicago
Intestinal Rehabilitation & Transplant Center

840 S. Wood Street, Suite 402
Chicago, IL 60612

Faxes may be sent to:
(312) 413-8954

Our clinic is located in the Outpatient Care Center at the University of Illinois Hospital. We have state-of-the-art endoscopy, radiology, and surgical suites, as well as two specialized, comfortable research clinics where patients are seen during participation in clinical trials. For patients referred from outside Chicago, we assist with reserving accommodations either on campus or nearby our  campus for the convenience of our patients. For more information, please contact our offices.

Patient Forms

Please fill out the appropriate forms below prior to your visit.   Click on the appropriate form to download, fill out, and bring to your appointment.

New Patient Forms:
Patient Profile
Patient History Form

Medical Records Release:
Authorization to Disclose Health Information (so we can receive your medical records from other doctors or medical offices–must be completed prior to your visit)
Authorization to Disclose Health Information (if you want us to release your medical records to another doctor or office)

IBD Center Forms:
Crohn’s Disease Activity Index
Ulcerative Colitis Disease Activity Form (DAI)

Your Procedure

We want you to feel comfortable before you even get here, which is why we want you to understand your procedure. To learn more about your procedure or medication you may take, contact our office or watch the informative videos below.

Instructions for Your Procedure:
General Instructions for Upper Endoscopy and Colonoscopy
Colonoscopy FAQs
Prep A: MoviPrep
Prep B: TriLyte
Anticoagulants and Anti-Platelet Medications and Your Procedure

Other Forms

Picture of hospital
University of Illinois Hospital
1740  W. Taylor Street
Chicago, IL 60612

For information on your Upper Endoscopy procedure:

Watch Video


Watch Video

PEG Placement:

Watch Video

Catheter Care:

Video pill makes ‘fantastic voyage’ inside body

CHICAGO, Illinois (CNN) — With a flash and a swig, Tom Munz is on his way to an easy and painless diagnosis of his intestinal problems.

Read full article

Video pill gets inside scoop:

Other Articles on Patient Procedures:
More Information on PEG Placement
Understanding Colonoscopy
Understanding Upper Endoscopy
Understanding Capsule Endoscopy
Understanding Esophageal Dilation
Bowel Preparation Before a Colonoscopy


For directions to Intestinal Rehabilitation & Transplant Center from Chicago, click here.

For directions to Intestinal Rehabilitation & Transplant Center  from Milwaukee, click here.

For directions to Intestinal Rehabilitation & Transplant Center  from O’Hare International Airport, click here.

Free valet parking is available.