New Patients

Patient Intake & Insurance

Complete your new patient intake online — including insurance details — and we’ll verify your benefits before your first visit.

Save time at your first visit by completing your intake ahead of time — it takes about 10 minutes. Include your insurance details and our team will verify your exact benefits with your insurer before you arrive, so there are no surprises.

Secure online form

Takes about 10 minutes. Your information goes directly to our clinical team — including your insurance details, which we verify before your visit.

Questions First?

Not sure about something on the form?

Call us and a real member of our Arlington Heights team will walk you through it.

Call Text Request
Request an Appointment