Our practice requires all patients to have updated Patient Forms on file.
Failure to have completed forms will result in rescheduling or cancellation of your appointment.
Please call or message us if you have any questions.
Informed consent for the use of off-label and/or non-clinically endorsed or proven medication/procedures: Wherein the knowledge of their use and results may have been obtained by potential subject-expectancy effect including, but not limited to, anecdotally driven remedies/treatment procedures.
Your health should never be put on hold due to financial difficulties. We offer affordable discounted rates based on each individuals circumstances. Please complete if you wish to be considered for a hardship waiver. You will be notified if you qualify for this waiver.
Chicago Health And Wellness Alliance
8 S. Michigan Ave, 1403 Chicago, IL 60603
Ph 312-236-7010 Ext 2. | Fax 877-325-2058
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