First Visit

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, fill out and print the following New Patient Paperwork:

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1614 W. Central Road, Suite 205
Arlington Heights IL 60005
847-392-9191

Map and Directions to Our Office

PatientMedicalHistory

Patient Information Form

PatientMedicalHistory

Medical History

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Consent and Disclosure Form

Please read the following document prior to filling out the Consent and Disclosure Form above:

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Notice of Privacy Practices

Office Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

8:30 - 6:00
8:00 - 5:00
9:30 - 6:00
8:30 - 5:00
9:00 - 5:00
9:00 - 12:30