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  • Please use this form for general information purposes only. DO NOT send personal health information through this form. Your specific patient information will be addressed during your appointment, in person.
    Please complete the following form to request an appointment. Please also note that availability will vary depending on our schedule. Your appointment will be confirmed by phone by a member of our staff. Thank you!
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patient forms  Arlington Heights, IL

Online Forms

At Ideal Family Health Center, we offer our new patient forms online so you can complete them at your own convenience. You can print and complete the forms, then bring it with you for your first visit.

New Patient Form – Download & Print Form

You can print and complete these forms to bring in to your first visit.