Have you had X-Rays, an MRI or CT Scan done in the 12-18 months?
If so, we highly recommend that you obtain a disc with the images, along with the report to bring with for your appointment. This allows the doctor to review and/or compare images in a timely manner, and allows for our patients move forward with treatment in a safe and efficient manner.
You may obtain a disc and report, by calling the office or hospital where the images were taken, and submitting a request, you may either pick the disc up, or have it mailed to our office. Please keep in mind that any discs that are mailed may take several days/weeks to be received
(we would recommend picking them up and bringing it with you!).
Reports may be faxed to: 708-263-2023
Please complete the forms to the best of your ability and bring a copy with you to your appointment. Please don’t hesitate to call if you have any questions!
- If this injury occurred at work, please complete the Workers’ Compensation Case Information Form.
- If this injury occurred as a result of a car accident, slip and fall or any other type of injury as a result of someone else’s negligence, please complete the Personal Injury Lawsuit Case Information Form.
- If this injury happened while participating in a school sponsored sport or activity, please complete the School Sport/Activity Injury Information Form.