1375 E. Schaumburg Rd, Suite 240 Schaumburg, IL 60194
Phone: Voice Fax
847-895-4540 847-895-4544
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Forms, Payments and Insurance Plans
Intake Forms
Prior to your first visit you may want to print and fill out our intake forms to save time at the beginning of your initial visit.
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Open the link
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Print the form
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Fill out the forms clearly and legibly
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Bring them with you to your first appointment!
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Payments
We accept all major credit cards, cash, and personal checks for your co-pay/coinsurance/deductible and/or outstanding balances. Payment is due at time of service.
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We also offer a limited financing program for outstanding balances. Please contact our office if you would like to set up a finance program for your balance.
Health plans which we accept:
Not covered by any of these plans? Contact us and we will find the best solution to suit you.