Prepare for your first appointment

To make your appointment progress faster, please print and fill out the Patient Verification Form and the Patient History Form ahead
of time.

please bring the following

  • Your filled out forms
  • A current photo ID
  • Your insurance card
  • Any referral or authorization documents as required by your insurance provider
  • Any laboratory test results for the past 6 months
  • A list of all your medications and supplements by name, including dosage and frequency
  • You may also bring your prescription bottles and supplements in a bag with you
  • A list of all current doctors, including address and phone number
  • Be prepared to share your medical and family history

Please arrive at least 15 minutes prior to your appointment so we may verify your paperwork.

Print patient verification form Print patient history form

It's Time To Restore Kidney Health

For over 50 years, our Chicagoland area physicians have been recognized for their innovative patient service programs and for actively engaging in local outreach
efforts. Contact us today to experience the AIN difference.

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