1614 building

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

Map and Directions
to Our Office

Office Hours

Phones are on:

Monday thru Friday
9:00am to 5:00pm

Saturday
9:00am to 12:30pm

We have appointment hours that vary by day:

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
7:30 - 6:00
8:00 - 6:00
7:30 - 5:00
8:00 - 6:00
8:00 - 5:00
9:00 - 12:30


Same day appointments available

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:

PatientInformationNew

Patient Information Form

 

PatientMedicalHistory

Medical History

 

HIPPA ConsentForm

Consent and Disclosure Form

 

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

NPP GyneandOB

Notice of Privacy Practices

 

Gynecological & Obstetric Associates, SC
1614 W. Central Road, Suite 205  •  Arlington Heights, Illinois 60005  •  847-392-9191