Offices

    St. Charles
    2900 Foxfield Rd.
    Suite #206
    St. Charles, IL 60174
    Tel: 630-584-6127
    Fax: 630-584-6070

    Answering Service
    630-208-4234

    Appointments & Forms

    Here you will find the information necessary to prepare for your first visit to our office. 
    You can complete your paperwork and submit your medical history in the convenience of your own home!


    Making Your Appointment

    Scheduling appointments may be done during regular office hours. Please call either one of our office locations for assistance with scheduling.  You may also request an appointment online!

    To cancel an appointment, a 24-hour notice is required. This is essential so that we may better serve all of our patients and not unnecessarily deny any patient an appointment time.

    Our physicians make every effort to value your time by seeing you at your scheduled appointment time.  Please assist us and your fellow patients by arriving at our office at least 15 minutes before your appointment time, so that any necessary paperwork and preliminary evaluation can be completed before you are seen by the physician.

    Insurance

    We belong to many insurance plans. Please contact your insurance company to verify our participation.  All insurance referrals are the patient’s responsibility. Our office bills primary insurance; filing of secondary insurance is the patient’s responsibility.


    What to Bring to Your Appointment

    Please be sure to bring your insurance card and photo ID with you to each office visit.  Please have all appropriate referrals and information from your primary physician ready at the time of the appointment.  Co-payment is due at the time of service. 

    In order to streamline your initial visit, we have made available below the paperwork required for your first office visit.  The Patient information and History & Physical form may be completed online and securely transmitted to our office with the click of a button! The Medication Reconciliation form may be downloaded from this site- you can print and complete these forms prior to your appointment, and bring them with you to the office.

    History and Physical Form <-- click here
    Please provide information about the reason for your visit and your past medical history, which our physicians will review with you at your first visit.

    Medication Reconciliation<--- click here
    Please list the names and dosages of all medications you currently take, even if only on an as-needed basis.  Include prescription and over-the-counter drugs, as well as nutritional or herbal supplements.  This allows our physicians to safely determine which medications are safe and effective for you to take.
    Please provide your contact and insurance information so that we may bill your insurance company directly.

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    Sakina Bajowala,
    Apr 22, 2010 7:24 AM
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    Sakina Bajowala,
    Sep 22, 2008 2:09 PM
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    Fran Formas,
    Aug 5, 2011 11:25 AM
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    Fran Formas,
    Aug 5, 2011 9:06 AM