New Patient Checklist

Checklist and ‘To Do’
Prior to, and at, your first visit

Before your first visit

  • Call your insurance company to verify that your chosen provider (our doctor) accepts your insurance and is in your network.
  • If you haven’t yet, make an appointment. Call 773-871-4409 to set an appointment now.
  • Download, print and fill out the new patient forms HERE and bring them with you to your first appointment.
  • Send a copy of your insurance card (front & back) to us by email* (insurance@pcmachicago.com) or fax.

Your insurance verification will go more smoothly if we have a copy of your insurance card prior to your first visit. You may email* a copy (front and back) of your insurance card to insurance@pcmachicago.com prior to your first appointment.

*No email system is 100% secure. If you prefer to deliver documents to us in a secure manner please fax these to: 773-871-3608

Bring to your first visit

  • Photo ID
  • Insurance Card
  • Current list of medications (or bring your medications with you)
  • Preferred pharmacy name, address and phone number(s)
  • New patient forms: New Patient Health History, Privacy Policy, HIPAA Private Practice Acknowledgement, Financial Policy
Insurance Verification

If you do not bring your insurance card to your visit and we cannot verify your insurance, you will be considered a ‘self-pay’ patient until your insurance can be verified.

We will charge your credit card at the time of visit. The charge can be reversed if we receive, and can verify, your insurance information within two (2) business days. We appreciate your understanding in this matter.

Medical Records Release

Access to medical records from your previous doctor

New Patient Health History

This history tells us more about you

PCMA Financial Policy

How we handle payments to your account

PCMA Privacy Policy

How we handle your private information

HIPAA Privacy Policy

Your health care privacy rights under the law

All Forms 'Zipped'

All PCMA forms in a handy ‘zip’ file.

Testimonials

WHAT OUR CLIENTS SAY

I have been visiting this office for a few years and love their high level of professionalism.

Shauntia M.

Scheduled a same day appointment within minutes of contacting for an ankle injury. The doctor was great and then called the MRI group downstairs and I was able to get my X-ray completed right away. Took only one hour to get scheduled, examined, and X-ray’d.

Bradley W.

I’ve been going to Primary Care Medical Associates since at least 2009. Dr. Cohanim is my doctor and she is just the best. Bottom line, I love this practice and love Dr. Cohanim!

Theresa F.

Have more questions?