New Patient Paperwork

Chicago Anti-Aging Institute offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Paperwork

    Click to Download

  • New Patient Comprehensive Health History

    Click to Download

  • Our Office HIPPA Policy

    Click to Download

OFFICE HOURS


Monday
8:00am - 1:00pm
2:00pm - 7:00pm


Tuesday
2:00pm - 7:00pm


Wednesday
8:00am - 1:00pm
2:00pm - 7:00pm


Thursday
2:00pm - 7:00pm


Friday
8:00am - 1:00pm
2:00pm - 7:00pm


Saturday
8:00am - 1:00pm

Chicago Anti-Aging Institute

16622 West 159th Street #500
Lockport, IL 60441

(815) 838-7746