icon phone white630-832-4210
fax 630-832-8110

Welcome to our practice! Thank you for choosing RPW for your healthcare needs. We look forward to meeting you! The checklist below will help you prepare for your first visit.

For your first visit you will need to:

  • Arrive 15 minutes before your scheduled time
  • Bring completed New Patient Paperwork
  • Bring your insurance card
  • Bring your driver’s license or a photo ID
  • Bring any referrals or medical records that are pertinent to your visit. We rarely need an entire medical record. Please call if you need further guidance.
  • Bring a list of your current medications
  • Bring a Visa or MasterCard, check or cash. Co-pays and charges not covered by insurance are due at the time of service.
  • For a map and directions to our office and other information click here.

Please click on each form icon below to download a copy of that form. Print the form, fill it out and bring it with you to your first visit.

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Medical History
System Review
Registration Information
Notice of Privacy Practices
Medical Records Release (if necessary)