Access your medical record ( EMR):

https://login.patientfusion.com/

 

Save time and stay informed 

At Your Personal Doctor, we strive to make it as easy as possible for you to get the comprehensive, experienced, and advanced care you need to protect your health. With that in mind, we’ve made all the necessary forms and information available to you for easy download. But if you have any questions, please feel free to call us at 847-818-7700.

 

Registration Medical Form    

Registration Non-Medical Form

Medical History Form

Release Information Form

Office Policy Rules HIPAA For Insured Patients

Medical Services Price List

 

 

 

 


Interested in learning more about our

HEALTH, WELLNESS, and BEAUTY CARE?

 

free consultation button

Call us for a free consultation, 847-818-7700, or schedule an appointment with your personal advisor today.

 

Beauty. Health. Longevity.

    Call Now

847-818-7700

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