Privacy Statement     

Patient Registration and Financial Forms

Our patient registration and financial forms are listed below. To speed the registration process, please print the forms, complete them, and bring them to the office with you. Or, you may fax the completed forms before your appointment to (847) 729-9480.

Patient Registration and Financial Forms

The North Shore Podiatry Group
Glenview · Lake Forest · Gurnee
Phone: (847) 729-9580 · Fax: (847) 729-9480

The information provided in this website is not intended to be a substitute for medical attention, diagnosis or treatment. The material is provided for information purposes alone. Visitors should not exclusively rely on answers provided in this website. Specific questions should be directed to your own health care provider. The North Shore Podiatry Group makes no claims, expressed or implied as to the accuracy and timeliness of any advice, services, or other information referenced in the website. Additionally, North Shore Podiatry Group is not obligated to follow-up or contact visitors to this site, nor is it liable in any manner for the decisions of visitors whose actions are based on information found in this website.