New Patient Information and Forms

Your Visit

If you are a new patient, please arrive to your appointment early in order to complete the registration process. In addition, please bring the following:

  • Completed New Patient Forms
  • Driver’s License or State ID
  • Referral (If Required by Insurer)
  • Insurance Information
  • Copies of Operation Records, Medical Records, X-rays, MRIs, and CT Scans from Prior Doctor Visits
  • A List of Current Medications and Any Known Allergies

We ask our patients to complete these forms before their first appointment. Please click on the link below, print the forms, and fill them out before coming for you first visit.

For questions relating to your visit, please call us today or visit the patient portal.

Weil Foot and Ankle Institute

Additional Forms


Please call the main office at 847-750-4856 to make an appointment in advance. If you are unable to keep your appointment, please call us as far in advance as possible so we can use that time to see another patient in need of care.

We make a sincere effort to adhere to our appointment schedule and appreciate your patience if we are late due to emergencies or hospital surgery.

Insurance information

We accept most major insurance plans. If you have questions regarding your insurance, please contact us at 847-750-4856

Fees & payments

We make every effort to decrease the cost of your medical care. Therefore, we request payment arrangements for all office services at the time they are rendered unless prior arrangements have been made. We accept cash, checks, American Express, MasterCard, Visa, and Discover for your convenience.

If we are a participating provider of your insurance company, we will bill them. However, payment is the patient’s responsibility. We will help in any way we can to assist you in handling claims.

Weil Foot & Ankle Institute has provided care and treatment to more than 200,000 patients in the past 49 years. The Foot & Ankle Surgical Center, a fully licensed and Medicare Approved Ambulatory Surgery Center, was opened in 1994. Patients requiring surgical procedures are able to receive care in an ambulatory surgical setting rather than in a hospital. To date, more than 30,000 surgical procedures have been performed in the Foot & Ankle Surgical Center.