To get started, please download the patient registration form below in your preferred language. For parents/guardians of those under 18 years old, please also fill out the matching consent form for treatment. In addition to your completed form(s), bring the items below to your appointment.
- Photo identification
- Insurance card (if you have insurance)
- If you do not have insurance, that’s ok, we’ll help you enroll or provide services without insurance
- A list of medications you are currently taking
- Immunization records
- Discharge papers if you were recently admitted to a hospital
To make an appointment, please call 312-633-5841.