Internal Medicine

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RFUHS Family and Internal Medicine
3471 Green Bay Road, North Chicago, IL 60064
Phone: (847) 473-4357     Fax: (847) 578-3269


For New Patients

To make the check-in process more efficient during your first visit, please fill out the Patient Registration Packet at home and bring your completed paperwork, along with your photo ID, with you to your first appointment.

You may complete your packet one of two ways. Please click the appropriate link below for your preferred method.

1) Interactive version - you can type your information into the forms and print a completed copy

2) Standard version - if you would prefer, you can print out a blank copy of the forms and fill them out by hand

(Note: the above links open forms in PDF format. Adobe Reader is required to view these PDFs. This free software program is available from the Adobe website, where you can learn more about how to download and install Adobe Reader.)

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3333 Green Bay Road, North Chicago, Il 60064-3095 • 847-578-3000