Appointments, Patient Forms, Insurance, Billing, and Financial Responsibility For Comprehensive health and...

For Patients / Clients


Our staff is friendly and always ready to help with scheduling, insurance or anything else you may need during your time with us. We will take extra care to listen to your concerns and answer all your questions. To schedule an appointment, please call us at 630.980.1400 or you can use our online Request an Appointment form.

If at any time you are unable to keep your appointment, please notify us. We will be glad to reschedule your appointment at a more favorable time. We greatly appreciate your time and consideration and look forward to seeing you.

New Patient Forms

If you have made your initial appointment, you can preregister by clicking on the links below to download our New Patient Forms. Please print and complete the forms prior to your arrival. This will help to speed up the new patient registration process and get you in to see the doctor sooner.

Click on the appropriate set of forms below.

New Patient Primary Care Medical Forms 

New Patient Functional Medicine Female Forms

New Patient Functional Medicine Male Forms

New Patient Psychology Forms


We accept most insurance plans. Please call us to verify whether or not we are participating with a particular insurance company.

Billing and Financial Responsibility

Please call our office if you have any questions regarding an invoice; we will be happy to assist you.

Discover the awesome power of family integrative medicine, wellness and mental health care. Let The Center for Integrative and Functional Health & Wellness help you achieve optimal total health. Call us at 630-980-1400 or fill out our online form to request an appointment with one of our professionals. We welcome patients from Schaumburg, IL, Bartlett, IL, Bloomingdale, IL, Addision, IL and Carol Stream, IL.

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Bloomingdale Location
One Tiffany Pointe
Bloomingdale, IL 60108 MAP

FAX: 630-980-1441