For New Patients

To register as a new patient with Lemont ENT, please complete the following steps:

1. Make an appointment online by clicking on the button below.  Dr. Go will contact you via email within 24 hours to confirm your appointment.  If you do not receive a confirmation email within this time period, please call (630) 243-4505.

Make an Appointment

 

2.  Please complete the following prior to your first appointment:

A.  Print out and complete the Patient Registration forms and the Health History form in their entirety.  This will maximize our time together in your first visit.  Your answers are confidential and will not be shared.  Please bring the completed forms with you to your first appointment.

Download Patient Registration Forms.

Download Health History form.

B.  Thoroughly review the Office Policies and HIPAA Privacy Policy for the practice.  Please contact Dr. Go with any questions or concerns about these policies.

View Office Policies.

View HIPAA privacy policy.

C.  If you would like another doctor to send your records to Dr. Go prior to your visit, please download, print, sign and send the Medical Record Release form to the other doctor.  Outside records may be faxed to 630-243-4505.

Download Medical Records Release Form.

D.  If the patient is a minor, please download, print and sign the Consent to treat minor form and bring it with you to your first appointment.

Download Consent To Treat Minor Form.

3.  As part of our office policy,  we will request that you provide a credit card that we will keep on a secure server to settle your patient responsibility balances that remain after your insurance company has paid their contracted amount for your visit .  Please provide this at the time of your check-in.  Thank you for your assistance in helping our small practice to continue to provide you with the cost-effective, patient-centered care that you deserve.