Medical Forms & Instructions.

Please arrive 15 minutes prior to your scheduled appointment to allow adequate time for you to complete any required forms and give us updated insurance or contact information. All patients must bring a Driver’s License or State ID, a valid insurance card, and a list of medications. Co-Pays are due at the time of service. If you are unprepared to pay your co-pay you will be asked to reschedule your appointment. If you arrive very early for your appointment, we will try to see you sooner if possible. If you are more than 30 minutes late for your appointment, you may be asked to reschedule. Patients who routinely miss appointments may be discharged from the practice.

When visiting our office, you will be asked to complete forms regarding your current condition, your medical history and your insurance. These forms are available here:

We will provide you with a copy of your records after we receive a valid signed request. There is a charge for copying records which complies with the State of Illinois fee schedule. We will inform you of these charges. Please allow a minimum of 72 hours to process your copy request.

If you are having surgery performed by one of our doctors surgical forms are available here:

You can browse this section for any additional forms regarding treatments, medical aids, and procedures.

Completion of Forms

We understand that on occasion patients may need a form completed by their provider (e.g. disability, FMLA, return to work form, etc.). We try to complete many of these requests immediately. However, sometimes this is impossible. For this reason we require patients to fill in as much information as possible before giving us the forms. If you would like the completed forms faxed directly to an employer, disability, etc., please include a contact person name and fax number. Please allow a minimum of 72 hours for forms to be completed. Note: There may be a fee for processing some forms or for re-processing lost or incorrect forms.

Appointments

Please call the office at 708-479-0790 to schedule your appointment in advance or use our online appointment request. If you are unable to keep your appointment, please call us as far in advance as possible so we may use that time to see another patient in need of care.

After-hours Emergencies

If this is a life threating emergency please call 911. Emergency calls after hours must be made to the main phone number at our regular office location. After-hours calls will be forwarded to our answering service.

Prescription Refills

Requests for prescription refills will be processed Monday to Friday during normal business hours only. If you have been seen in our office in the past year and/or need a refill to get you through until your next appointment, please call your pharmacy and ask them to fax a refill authorization to our office. You do not need to call our office. Please allow a minimum of 72 hours to process your request.