Chicago Office
773-309-6760
3115 N. Harlem Ave, Suite LL
Chicago, Il 60634
Northlake Office
708-409-8600
338 E. North Ave
Northlake, Il 60164

Patient Information

We ask for our first time patients to come in fifteen minutes prior to their scheduled appointment to fill out patient history and privacy forms. For your convenience you can print and fill out these forms to bring with you on your first visit.

Patient History Forms - Includes our basic information and the patients medical history.

HIPPA - Privacy Right Forms

Broken Appointment Policy


All forms must be signed and dated