
New Patient Visit
Before your visit:
For your convenience, please download the following forms and complete them prior to your visit.
- Patient Information Form
- Health History Form
- Financial Policy
- Receipt of Notice of Privacy Practices Form
- Notice of Privacy Practices
The day of your visit:
To ensure your best quality care, your medical and surgical history is very important. It is helpful to bring in a list of current medications including doses. This information can be filled out in advance on the health history form which can be downloaded above. In addition, it would be helpful to have copies of any x-rays, CT scans, or MRIs that are related to the problem for which you are being seen. The name and contact information of your primary doctor (as well as any necessary referrals) allows for more efficient exchange of information to promote your thorough, comprehensive care.
Insurance information
We accept coverage from many different insurance companies. Please call your insurance company to confirm our participation in your plan.

Rolling Meadows, IL 60008
(On New Wilke Road just north of Golf Road.)
5999 New Wilke Road Building 1 Rolling Meadows, IL 60008

Hoffman Estates, IL 60169
(Located on St. Alexius Medical Center campus
1555 Barrington Road Suite 530 Hoffman Estates, IL 60169