Below is A list of Practice Documents and Instructions for a given situation.

Pre-appointment documents: If this is your first time seeing one of our providers at this location, you can expedite the process by providing the documents below. Feel free to upload any relevant information to your ZocDoc profile, fax it to us at 773-832-8701, or email

  • Copy of your Insurance card.

  • A signed copy of our Patient Consent Form. Click on the link below to download the form.

  • Your preferred pharmacy information. There is a space for this on the bottom of the Patient Consent Form described above.

  • Medical records from a previous practice. Click on the appropriate link below to download a pre-populated release form that you can send to your previous practice to request a copy.