At Your First Visit

Prepare for your Visit

Thank you for choosing American Indian Health Service of Chicago, Inc. as your healthcare provider. We are honored you have chosen us to be your partner in health and will do everything in our ability to provide you with the best possible care.

Your First Office Visit

We want to make your first visit to American Indian Health Service of Chicago as pleasant and comfortable as possible. Here are a few tips that will help us serve you better.

What to expect

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, 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.

What to bring with you

In order for your physician to better serve you and provide the best possible care, please bring the following items to your appointment:

  • If you have insurance, please bring your Health Plan Insurance card
  • 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

New Patient Forms:

Print and fill out before your first visit.

Download New Patient Form

Download HIPAA Form

Download Notice of Privacy Practices

Download Authorization for Use or Disclosure of Health Information

We look forward to seeing you at your appointment!

If you have any questions, please call us at 773-883-9100