Contact Us

General and scheduling : 630-560-6015

Billing : 708-297-3291

Cancellation/ No Show Policy for Doctor Appointment

We understand that there are times when you must miss an appointment due to emergencies or obligations for work or family. If you do not call to cancel an appointment, you may be preventing another patient from getting much needed treatment. 
If an appointment is not cancelled at least 24 hours in advance you will be charged a $25 – 50 fee; this charge will not be covered by your insurance company.

 

HIPAA authorization form.

Please complete the form to request medical record or to share health information to other providers.

It needs to complete every time you request health information.

Adroita HIPAA Authorization Form