New Patient Forms

Below are forms you will need to complete before your first appointment. To speed up the process, you can download them now and bring them to your appointment filled out.

New Patient Health History (PDF)

New Patient Policy Form (PDF)

New Patient Portal Sign Up (PDF)

New Patient Privacy Policy (PDF) <REVISIT>

New Patient Notice of Privacy Practices (PDF)

New Patient Data Information (PDF)

New Pediatric Patient Data Information (PDF)

Annual Health Habits (PDF)

Medical Home Checklist (PDF)

Welcome to your Medical Home (PDF)

Care Close to Home

Silver Cross Hospital Pavilion A 1890 Silver Cross Blvd. New Lenox, IL 60451 (815) 300-5400 Inpatient Rehabilitation (815) 300-7110 Outpatient Rehabilitation

Silver Cross Professional Building 1051 Essington Rd., Ste. 260 Joliet, IL 60436 (815) 300-6580 Outpatient Rehabilitation

Silver Cross Health Center 12701 W. 143rd. St., Ste. 220 Homer Glen, IL 60491 (815) 300-6288 Outpatient Rehabilitation

Shirley Ryan AbilityLab at Silver Cross care is available nearby to you offering convenient scheduling hours including evenings. For more information or to schedule an appointment with a physician’s order, contact the Silver Cross location closest to you.

Physicians on Silver Cross Hospital’s Medical Staff have expertise in their areas of practice to meet the needs of patients seeking their care. These physicians are independent practitioners on the Medical Staff and are not the agents or employees of Silver Cross Hospital. They treat patients based upon their independent medical judgment and they bill patients separately for their services.