First Health Associates offers online forms for your convenience. The list below includes all necessary new patient forms that can be competed in convenience of your home or office.
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Download the necessary form(s), print them out and fill in the required information.
Fax us your completed form(s) or bring them with you to your appointment. Fax 847-593-3346.
New Patient Forms
Please complete forms 1-4 PLUS the intake forms listed under the type of provider you will be seeing. If you cannot complete the forms prior to your visit, please arrive 30 minutes before your scheduled new patient appointment to complete them in our office.
1 – Medical History
* * * Additional Provider Specialty Intake Forms
Physical Medicine & Rehab
Traditional Chinese Medicine