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1614 building

1614 W. Central Road
Suite 205
Arlington Heights IL 60005

Map and Directions
to Our Office

Office Hours

Phones are on:

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

9:00am to 12:30pm

We have appointment hours that vary by day:

8:00 - 6:00
8:00 - 6:00
8:00 - 5:00
8:00 - 6:00
8:00 - 3:30
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:


Patient Information Form



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  •  Fax 847-392-9811