New Patient Forms
During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. We accept most insurances.
Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.
New Patients.
Please arrive early so that we can complete your initial paperwork. Also, please bring the following:
- Patient's insurance card
- List of current prescriptions and/or over-the-counter medication, including dose and frequency
- Information about patient's medical and surgical history
- Recent test results, x-rays, or relevant records
Insurances Accepted
We accept most PPO plans. These are some of the most common insurance providers we accept PPO plans from. If you do not see your insurance provider listed, please call our office!
Accepted Insurance
| AARP United Health Care Plans | County Financial | Meritain |
| Administrative Concepts | Coventry Health Care | Molina |
| Aetna | Coventry Insurance | Mutual of Omaha |
| Aetna Better Health | Equitable & You | Next Level Health |
| Aetna Medicare | Family Health Network | Nippon Life |
| Allied Benefit Systems | Harken Care | PHCS |
| Ambetter | Harmony Health Plan | Professional Benefits Administration |
| Assurant | Health Spring | Public Aid (Illinois Medicaid) |
| Bankers Fidelity | Humana | Tricare |
| Blue Cross Blue Shield - *HMO only | Illinicare | UMR |
| Blue Cross Community | Liberty Mutual | United Healthcare |
| Blue Cross Medicare | Medicaid | United of Omaha Life Insurance |
| Cigna | Medicare | |
| Country Life Insurance | Meridian Health Plan |
If you don't see your insurance plan call (847) 298-3338.
Privacy Policy for Illinois Foot & Ankle Clinic
Contact Information
- Address: 1400 East Golf Rd, Unit 201, Des Plaines, IL 60016
- Phone: (847) 298-3338
- Email: info@ilfootclinic.com
Purpose of Data Collection
At Illinois Foot & Ankle Clinic, we collect personal data solely to provide our patients with the best possible care and to respond to their inquiries. The information is used for the following purposes:
- To contact patients regarding their requests or appointments.
- To provide personalized services based on their inquiries.
Types of Data Collected
We collect the following information through our contact forms:
- Name
- Email Address
- Phone Number
- Details about the requested service or the patient's question.
Data Sharing Policy
We do not share your personal data with third parties. All information collected is used exclusively by Illinois Foot & Ankle Clinic for the purposes stated above.
Data Storage
Your personal data is stored securely in our systems. We retain this information only as long as it is necessary to address your inquiries or provide services. If you would like your data removed from our records, please contact us at info@ilfootclinic.com.
User Rights
You have the right to request access to, update, or delete your personal data. If you wish to exercise these rights, please send an email to info@ilfootclinic.com.
Cookies and Tracking
Our website may use cookies to improve user experience and analyze website traffic. However, these cookies do not collect personal information unless explicitly provided by the user.
Updates to the Privacy Policy
We may update this privacy policy from time to time to reflect changes in our practices or for other operational, legal, or regulatory reasons. Any changes will be posted on this page.
If you have any questions or concerns about this Privacy Policy, please contact us at info@ilfootclinic.com.
