Patient Forms
Complete these forms before your appointment to save time
To expedite your first visit, please download, print, and complete the following forms. Bring them with you to your appointment, or arrive 15 minutes early to complete them in our office.
New Patient Forms
Insurance Forms
If you plan to use insurance, please also bring:
- Your insurance card (front and back)
- Photo ID
- Insurance assignment and release form (we'll provide this)
Questions?
If you have questions about the forms or need assistance, please call us:
Prime Health + Wellness
Downers Grove: (630) 729-7024
Carol Stream: (331) 871-2039