Advanced Medical and Physical Therapy Programs Combining
The Best of Traditional and Nontraditional Medicine

New Patient Forms & Downloads

Click to download our new patient, information forms.
Please complete all forms prior to your appointment time.

What to bring for your initial visit:
  • Any blood work, MRI, CT scan or XRay results done within the past 6 months.
  • A list of your prescription medications
  • Bring in the bottles of any over the counter supplements you are taking.
  • Any questions you have for the Doctor.
  • Anything else, you think, may be relevant to your visit.
Please arrive 10 minutes early, so we can gather all of your paperwork. If you have not completed your health history, please allow at least 20 minutes to fill out your forms.

ALT-MED strives to keep it's daily schedule on time. Please call the office if you will be late or need to cancel your appointment.

We look forward to seeing you soon!
After experiencing sciatic pain on the left side, I had surgery to solve the problem. Shortly thereafter, I began to have sciatic pain down the other side. I assumed that surgery was necessary again. After beginning the (ALT-MED) program and doing the exercises for a couple of months, the pain was gone. I have been pain free for over six months.

- Joann Hensley
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ALT-MED Medical and Physical Therapy
1544 Nerge Road • Elk Grove Village, IL 60007
Phone: (847) 923-0046 • Fax: (847) 923-0047

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ALT-MED is a contracted provider with Medicare and BCBS of IL. PPO.
  
Wednesday September 18, 2019