The following new patient registration forms are for all new patients, except those patients who are being seen at AthletiCo Schaumburg (50 W. Schaumburg Rd.) or at AthletiCo Gold Coast/Near North (1031 N. Clark St., Chicago). If you are a new patient at Schaumburg or Gold Coast/Near North, see below. For all other patients, please fill out this form in your desired language.
Schaumburg and Gold Coast/Near North Patients
If you are a new patient at our Schaumburg or Gold Coast/Near North facilities, please fill out the following new patient registration forms. This form is currently only available in English.
New Patient Registration for Schaumburg and Gold Coast/Near North patients (PDF)
If you have questions regarding these forms, please call the facility where you have made your appointment.
