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WELCOME TO DR. ALAN BAIN'S NEW SCHEDULING SYSTEM

If you are an established patient and this is your first time booking on this system, please complete the form in its entirety. 


PLEASE CHECK YOUR EMAIL FOR APPOINTMENT DETAILS AND CONFIRMATION AFTER SCHEDULING. 
Mail me filter to your spam folder.
*ALL REQUIRED FORMS MUST BE COMPLETED PRIOR TO YOUR VISIT. YOUR VISIT WILL BE CANCELLED OR RESCHEDULED IF FORMS ARE NOT COMPLETED.*


SELF PAY FEES: 
New Patient $227, Established Patient $127, Established Patient Refill $50


IMPORTANT NOTICE!
Effective JUNE 1, 2025, ALL Telehealth appointments must be paid up front at the time of scheduling. Telehealth appointments can only be scheduled using my online scheduling system. You will receive a superbill to submit to your insurance for reimbursement.

IN OFFICE VISIT - UP TO 60 MINUTES

Office Location: 
444 N Northwest Hwy STE 200
Park Ridge, IL 60068
(312) 236-7010

Please bring your ID and insurance card. All copayments are due at check in.
 
UNINSURED PATIENTS: $227 due at check in.
Telehealth Refill Visit
(INSURED PATIENTS)
Telehealth Visit
(INSURED PATIENTS)
Telehealth Visit
(INSURED PATIENTS)
Telehealth Visit
Fee $127
Telehealth Visit
Fee $227
Telehealth Refill Visit
Fee $50
NON-ALLOPATHIC TELEHEALTH VISIT 
Fee $227 

This is a non traditional, non-medical treatment meeting with Dr. Bain. This is for those who are located outside of Dr. Bain's servicing areas or are looking for non-allopathic alternatives. This meeting will provide an opportunity to discuss clinical cases and issues which Dr. Alan F. Bain may have some expertise in that, Dr. Alan F. Bain may provide educational information or material regarding certain symptoms and diagnosis you are inquiring. This is not reimbursable with insurance.

CARE PLAN MEMBERS ONLY - TELEHEALTH VIDEO VISIT

* PLEASE CALL OUR OFFICE FOR MORE INFORMATION OR TO ENROLL IN THIS CARE PLAN
INCLUDED WITH S1 TEST ORDER

Review of S1 test results for patients who have completed the S1 home testing. 
This is completed via telehealth : https://doxy.me/dralanbain