Adult Down syndrome patient forms

Read through our new or returning patient packets for important information regarding our Adult Down Syndrome Center. New patients must fill out our forms prior to an initial visit.

For questions about proxy information through the LiveWell app, visit this FAQ.

New patient packet

New patient welcome letter [PDF]
About the Adult Down Syndrome Center [PDF]
Office policies [PDF]
General patient information form [PDF]
New patient health questionnaire [PDF]
Advocate Medical Group patient registration [PDF]
Privacy practices [PDF]
Privacy practice acknowledgement [PDF]
Standard release of health information [PDF]
Release of highly confidential health information [PDF]
Patient rights and responsibilities [PDF]
Interpreters [PDF]
Frequently asked questions [PDF]

Returning patient packet

Returning patient welcome letter [PDF]
Office policies [PDF]
General patient information form [PDF]
Returning patient health questionnaire [PDF]
Advocate Medical Group patient registration [PDF]

Schedule an appointment

Call 847-318-2303 to schedule an appointment.* Our patient forms must be filled out prior to an initial visit. You can expect a physical exam to be performed and a complete medical history to be recorded by our experts at your first appointment.

*We are currently accepting Illinois residents who are 12 and older. Read our out-of-state policy [PDF] if you live elsewhere.

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