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    • Home
    • What We Do
    • Who We Are
    • Contact Us
    • Careers
    • Leadership
    • News and Events
    • Ways To Give
  • Home
  • What We Do
  • Who We Are
  • Contact Us
  • Careers
  • Leadership
  • News and Events
  • Ways To Give

New Patient Form

CHS INTAKE APPLICATION FORM (pdf)

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Contact Us

Contact Us

Call today to schedule an appointment.

Please contact us directly with any questions, comments, or scheduling inquiries you may have. 


Fill out the new patient form above and send it to us via our contact form to save time when you come in for your appointment.

Center for Health Services

Tel: (847) 893-9877 Fax: (833) 412-2106

Hours

Monday - Friday: 9 AM–5 PM

Saturday as needed


Emergency Service: 24/7


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