4326 W Montrose Ave
Chicago, IL 60641

First Time Visit

Prepare for your first visit

On your first visit, we will ask you for some information about yourself and your insurance carrier if you have one. 

We will want to make a copy of your tribal enrollment card, insurance card (if you have), picture ID and proof of income (if applying for sliding fee scale discount). 

You will also be asked to complete new patient forms including patient information and medical history. You may want to save some time by printing the forms, filling them out and bringing them with you. All forms can be read in Acrobat Reader.

Print Out Forms
Fill Out Forms
Arrive Early
See Doctor
First visit?

What to bring with you

If you have insurance, please bring your Health Plan Insurance card.
Tribal Enrollment Card
Picture ID
Proof of Income (if applicable)

Any necessary or related medical records

A list of the medications you are taking, including dosage

A list of questions or health concerns you would like to ask your healthcare provider

Make Your Appointment Today

Clinic hours