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  • Locations in Barrington, Bartlett, Hoffman Estates, Palatine, and Schaumburg
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Women's HealthFirst
  • Home
  • About Us
  • Providers
    • Physicians
    • Physician Assistants
    • Practice Administrators
    • Ultrasound Technicians
  • Services
      • Gynecology
        • Well-Woman Visits | Annual Exams
        • Teen | Adolescent Gynecology
        • Abnormal Pap Smears | HPV
        • Colposcopy and LEEP Procedures
        • PCOS: Polycystic Ovarian Syndrome
        • Birth Control Options
        • IUD Insertion and Removal
        • Nexplanon Contraception
        • Painful Periods and Heavy Periods
        • Abnormal Vaginal Bleeding
        • Vaginal Discharge and Infections
        • Vulvoscopy and Treatment of Chronic Vaginitis
        • UTI: Urinary Tract Infections
        • PMS: Premenstrual Syndrome
        • Pelvic Pain
        • Fertility Evaluations
        • Perimenopause and Menopause
        • STD/STI Screening
        • Endometriosis Diagnosis and Treatment
        • Uterine Fibroids
        • Ovarian Cysts
        • Breast Cancer Screening
        • Preconception Counseling and Family Planning
        • Hormone Replacement Therapy
        • Pelvic Organ Prolapse
        • Pessary
      • Obstetrics
        • Routine Prenatal Care
        • High-Risk Pregnancy
        • Twin Pregnancy | Multiples
        • Advanced Maternal Age
        • Recurrent Miscarriage
        • Gestational Diabetes
        • Chronic Hypertension
        • History of Preterm Labor
        • Genetic Testing
        • Amniocentesis
        • Carrier Screening
        • Breastfeeding
        • Postpartum Blues or Depression
        • Osteopathic Manipulative Techniques
        • VBAC: Vaginal Birth After Cesarean
      • Surgical Services
        • Minimally Invasive Gynecological Surgeries
        • Robotic-Assisted Hysterectomy
        • Alternatives to Hysterectomy
        • Laparoscopy
        • Da Vinci Surgical System | Robotic Surgery
        • Hysteroscopy
        • Fibroid Surgery | Myomectomy
        • Endometrial Ablation
        • Tubal Ligation | Sterilization
        • D & C
        • Hysterosalpingogram
      • Office Diagnostics
        • Fetal Ultrasound
        • Gynecological Ultrasound
        • Nonstress Test
        • Biophysical Profile
        • Phlebotomy Services
        • Hysteroscopy
        • Colposcopy
        • LEEP
        • Endometrial Biopsy
  • Services
    • Gynecology
      • Well-Woman Visits | Annual Exams
      • Teen | Adolescent Gynecology
      • Abnormal Pap Smears | HPV
      • Colposcopy and LEEP Procedures
      • PCOS: Polycystic Ovarian Syndrome
      • Birth Control Options
      • IUD Insertion and Removal
      • Nexplanon Contraception
      • Painful Periods and Heavy Periods
      • Abnormal Vaginal Bleeding
      • Vaginal Discharge and Infections
      • Vulvoscopy and Treatment of Chronic Vaginitis
      • UTI: Urinary Tract Infections
      • PMS: Premenstrual Syndrome
      • Pelvic Pain
      • Fertility Evaluations
      • Perimenopause and Menopause
      • STD/STI Screening
      • Endometriosis Diagnosis and Treatment
      • Uterine Fibroids
      • Ovarian Cysts
      • Breast Cancer Screening
      • Preconception Counseling and Family Planning
      • Hormone Replacement Therapy
      • Pelvic Organ Prolapse
      • Pessary
    • Obstetrics
      • Routine Prenatal Care
      • High-Risk Pregnancy
      • Twin Pregnancy | Multiples
      • Advanced Maternal Age
      • Recurrent Miscarriage
      • Gestational Diabetes
      • Chronic Hypertension
      • History of Preterm Labor
      • Genetic Testing
      • Amniocentesis
      • Carrier Screening
      • Breastfeeding
      • Postpartum Blues or Depression
      • Osteopathic Manipulative Techniques
      • VBAC: Vaginal Birth After Cesarean
    • Surgical Services
      • Minimally Invasive Gynecological Surgeries
      • Robotic-Assisted Hysterectomy
      • Alternatives to Hysterectomy
      • Da Vinci Surgical System | Robotic Surgery
      • Hysteroscopy
      • Laparoscopy
      • Fibroid Surgery | Myomectomy
      • Endometrial Ablation
      • Tubal Ligation | Sterilization
      • D & C
      • Hysterosalpingogram
    • Office Diagnostics
      • Fetal Ultrasound
      • Gynecological Ultrasound
      • Nonstress Test
      • Biophysical Profile
      • Phlebotomy Services
      • Hysteroscopy
      • Colposcopy
      • LEEP
      • Endometrial Biopsy
  • Patient Resources
    • Pregnancy and Lactation Resources
    • Medication Refills
    • Patient Forms
    • Pay Bill
    • Patient Portal
    • Patient Education Library
  • Locations
    • Barrington
    • Bartlett
    • Hoffman Estates
    • Palatine
    • Schaumburg
Women's HealthFirst

Patient Forms

Thank you for selecting Women’s HealthFirst, with five convenient locations near Chicago, Illinois, for your OB-GYN care.

To schedule an appointment, please call us at (847) 808-8884 or use our online appointment request form. Established patients can update forms online through our patient portal. If you need help accessing the portal, please call us, and we’ll be happy to help.

Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process.

Please be sure to bring forms with you to your first visit along with any diagnostic films or other test results that may have been ordered or performed by another physician.

Downloadable Forms:
Patient Registration Form - English
Patient Communication Consent - English
Patient Communication Consent - Spanish
Patient Communication Consent - Polish


Please note:  It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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Women's HealthFirst in northwest suburban Chicago offers comprehensive gynecology, obstetrics, and surgical services.