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    • Home
    • About Us
    • Services
    • Insurance
    • Patient Information
      • Patient Portal
      • Patient Education
      • New Patients
    • Contact
  • Home
  • About Us
  • Services
  • Insurance
  • Patient Information
  • Contact

Office Policies For New Patients

We encourage new patients to print and complete the New Patient Registration Form and the HIPAA Form prior to their first appointment.


If you do not have access to a printer, you will receive a copy at the office. However, it will save time if you can bring a signed copy with you.


Existing patients are not required to fill out the registration form.


Please remember to inform the staff of any changes to your records.

Forms

Patient Registration Form (pdf)Download
HIPAA Form (pdf)Download

Endocrine and Diabetes Associates

312-340-6677

30 North Michigan Ave, Suite 1108, Chicago, IL 60602