Student Health

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


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.)

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