Become a Patient

Your Doc looks forward to having you join our host of satisfied patients. Each of our doctors has schedules tailored for your convenience. Your Doc offers flexible, prompt appointments - same-day, weekend, lunchtime, and evening. To schedule an appointment, please use our Online Appointment Request Form or call us at (847) 839-8800.

 

Once you have made your initial appointment, you can pre-register by completing and submitting the interactive forms below or clicking on the links to download the New Patient Forms. Please print and complete the forms prior to your arrival. This well help to speed up the new patient registration process and get you in to see the doctor faster!

 

New Patient Registration - Interactive

Health History Form - Interactive

New Patient Registration - Downloadable

Health History Form - Downloadable

 

All information sent interactively is done so securely, protecting your privacy and adhering to all privacy laws.

 

Please note: It may take a few minutes to load the forms if you are using a dial-up Internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the Adobe Acrobat Icon.

 

                         Your Doc provides Care Credit Payment Option as a

 convenience of our patients.  Care Credit can be used for

medical as well as laser services at any of our 5

Chicagoland offices. Process is simple and confidential

and approval is based on credit history

MEDSPA PROMOTIONAL OFFER

    FREE MINI FACIAL, TO OUR 1ST TIME CLIENTS

PLUS

     50 % OFF POWER PUMPKIN, RESURFACING  PEEL