Thanks for choosing Gynecological and Obstetric Associates – we look forward to meeting you soon!
The checklist below lists helpful items to consider for your first visit. Please check in 15 minutes prior to the appointment time and bring the following:
Completed New Patient Paperwork (see below)
Your insurance card
Your driver’s license or picture ID
Any referrals or medical records that pertain to your visit
A credit card, checkbook or cash. Co-Pays and charges not covered by insurance are due on the date of service.
Please download, print and fill out the following New Patient Paperwork:
Patient Information Form
Medical History
Consent and Disclosure Form
Please read the following document prior to filling out the Consent and Disclosure Form above:
Notice of Privacy Practices
675 W. Central Road, Suite 100A
Arlington Heights IL 60005 847-392-9191
