Student Health

Student Health Center
3471 Green Bay Road, North Chicago, IL 60064
(847) 473-4357

Forms

Forms for New Patients

To help save time at your first appointment, please complete the Patient Registration Packet below before your visit and bring in a completed copy, along with your photo ID and insurance card.

Student Health Registration Packet 

(NOTE: clicking the link above will open a fillable PDF file. Please enter all information requested and print a copy to bring with you to your first appointment. For your privacy and security, the completed form cannot be submitted online.)

Life in Discovery
Services We Offer
I’m Looking For…
Student Health Links
3333 Green Bay Road, North Chicago, Il 60064-3095 • 847-578-3000