CALL US

847-230-9808

Office Hours:

Mon-Thu: 9:00am – 5:00pm
Fri: 9:00am – 1:00pm

Schedule an Appointment (Existing Patients)

Mon: 10:00 am – 6:00 pm
Tue: 8:30 am – 5:00 pm
Wed: 1:00 pm – 6:00 pm
Thu: 8:30 am – 5:00 pm
Fri: 8:00 am – 1:00 pm

 

 

Pay your Bill

Click here to pay your bill online

Patient Portal

Click here to access your health records anytime

New Patients:

Please complete both the New Patient Registration and New Patient Medical History forms.  Once both completed forms are received, our office will contact you to schedule your first appointment.  Please allow approximately 20 minutes to complete and have your Photo ID and Insurance card(s) available.  Please note, we are currently scheduling new patient visits in 3-4 months.

We request a signature for the transfer of records at your first visit.    If you would like to initiate the transfer prior to your first appointment, please complete and return the medical records authorization form (below).

If you prefer to print and complete your forms, please click below to download:

New Patient Registration Forms (Print)
New Patient Medical History (Print)
Accountable Care Organization (Medicare Patients Only)

Printed forms can be returned by:

Mail to: SSD Medical Group, 12151 Regency Parkway, Suite 12165, Huntley, IL 60142
Fax: 847-984-1915
E-mail: ssdmedical@myupdox.com

To initiate transfer of medical records (optional):

Medical Records Authorization Form (Print)

If you prefer to print and complete a log form, please click below to download:

Blood Sugar Log