Patient Resources to Assist Your Visit

Insurance Information

resourcesFor your convenience, Chicago ENT at the Advanced Center for Specialty Care accepts most insurance carriers.  As a courtesy to our patients, we will be happy to file charges to your insurance carrier, including the verification of your benefits and pre-authorizing any procedures with your insurance company.

Be sure to bring your insurance cards and a photo ID with you to your appointment so that we may photocopy them for our records.

Also, please remember the responsibility of the entire balance is yours.

Patient Forms

To help save you time in our office, we now offer printable patient registration forms. Please print out the new patient forms (packet), and bring the completed pages with you to our office.

Please click the link below to access the Medical Records Request form. Download (right click and save), print, and complete the form. You may fax your completed Medical Records Request form to 773-296-3800. Please allow up to 30 days for processing.

We also have PDF versions of all our pre-operative and post-operative forms. If you are unsure which forms you need to complete, please call our office at 773.296.5500. Thank you!

Pre-Operative Forms

Post-Operative Forms