Section Resources

Appointments

Out of Town Patients

 

 

About Your Visit

Patient Registration

Below you will find downloadable patient registration forms that can be printed and competed prior to your office visit. Completing these forms before your visit will reduce your registration time.

New Patients

Please complete a Patient Registration Form before your appointment. Plan on arriving 15 minutes prior to your scheduled visit time to finalize your registration. Please be sure to bring the completed registration form and a copy of your insurance cards.

Existing Patients

If any patient information has changed since your last visit, for example, your insurance, your address or employer, please complete a Patient Registration Form as well. Plan on arriving 15 minutes prior to your scheduled visit to finalize your registration. Please be sure to bring the completed registration form and a copy of your insurance cards.

Patient Registration Forms

Adult Registration English
Adult Registration Spanish
Child Registration English
Child Registration Spanish
HIPAA English
Phone Release English

Forms Require Free Adobe Reader Software - download here if needed

DuPage Medical Group is pleased to announce MyChart, a secure online connection to your health record. MyChart allows you to securely view your medical records, request an appointment or prescriptions refills, and more from anywhere in the world. And best of all, it’s free! Talk to your doctor’s office to learn how you can sign up with MyChart or click here to learn more.

Office Policies

Gift card

Offered for any treatment, service, product and/or packages. Suitable for any dollar amount; Gift cards are a special way to share a quality skin care experience with those you care about often!

Consultations

if you prefer an evaluation and recommendation, we offer Physician consultations for $100 and Aesthetic consultations for $50. Consultation fees are adjusted by 50 percent and applied to your next service or treatment when booked within 90 days of your initial consultation visit. We are proud to extend physician based result oriented aesthetic & cosmetic treatments. Our team continuously strives to improve patient care, exceed your expectations and make a positive visible difference with new technologies; while offering simple long term value driven skin care regimen systems.

Pricing

Treatment pricing varies based on treatment area – customized quotes are provided individually. You are welcome to contact our office for staring prices on any treatment listed.

Payment

We accept most major credits, personal checks and cash. All services are to be paid the same day of the treatment. Any medical treatments will be processed accordingly.

Cancellation

All reservations must be confirmed with a valid credit card. If you are unable to make your appointment or need to reschedule, please allow 24 hours notice. A 50 percent service fee for the scheduled treatment will be charged for “no shows”.

Returns & exchanges

We will gladly accept all returns within 30 days of purchase when accompanied with your receipt.

Post - Operative Care

Coming Soon...