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.
Email may 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.*
IMPORTANT NOTICE!
Patients now have the option to waive their right to bill insurance. Our office offers a discounted fee for Direct | Self Pay patients who wish to not bill insurance.
DIRECT | SELF PAY FEES:
New Patient $200, Established Patient $150, Established Patient Refill $50
New and Established Patient Homeopathy | Alternative Medicine: $227
Begin your health journey with Dr. Bain during this initial visit and consultation. 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. During your visit, Dr. Bain will:
* Review your health history and gather the important pieces to put your story together. * Begin to identify and work toward the root causes of any systemic imbalances your may be experiencing. * Create a personalized plan with suggested next steps.
There is no "One Size Fits All" when it comes to our health and treatment. You and Dr. Bain will work as a team in order to reach your health goals.
Required forms will be attached in your confirmation email. Please complete all forms prior to your visit. Forms will be emailed ?to you with the link to join your virtual visit. Forms not completed 24 hours prior to your visit will result in cancellation.
Begin your health journey with Dr. Bain during this initial visit and consultation. 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. During your visit, Dr. Bain will:
* Review your health history and gather the important pieces to put your story together. * Begin to identify and work toward the root causes of any systemic imbalances your may be experiencing. * Create a personalized plan with suggested next steps.
There is no "One Size Fits All" when it comes to our health and treatment. You and Dr. Bain will work as a team in order to reach your health goals.
Required forms will be attached in your confirmation email. Please complete all forms prior to your visit. Forms not completed 24 hours prior to your visit will result in cancellation.
Begin your health journey with Dr. Bain during this initial visit and consultation. During your visit, Dr. Bain will:
* Review your health history and gather the important pieces to put your story together. * Begin to identify and work toward the root causes of any systemic imbalances your may be experiencing. * Create a personalized plan with suggested next steps.
There is no "One Size Fits All" when it comes to our health and treatment. You and Dr. Bain will work as a team in order to reach your health goals.
Required forms will be attached in your confirmation email. Please complete all forms prior to your visit. Forms will be emailed ?to you with the link to join your virtual visit. Forms not completed 24 hours prior to your visit will result in cancellation.
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. Outstanding balances must be paid in full or patient must be enrolled in a payment plan prior to visit.
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. Outstanding balances must be paid in full or patient must be enrolled in a payment plan prior to visit.
There is no "One Size Fits All" when it comes to our health and treatment. You and Dr. Bain will work as a team in order to reach your health goals.
Required forms will be attached in your confirmation email. Please complete all forms prior to your visit. Forms not completed 24 hours prior to your visit will result in cancellation.
There is no "One Size Fits All" when it comes to our health and treatment. You and Dr. Bain will work as a team in order to reach your health goals.
Required forms will be attached in your confirmation email. Please complete all forms prior to your visit. Forms not completed 24 hours prior to your visit will result in cancellation.
There is no "One Size Fits All" when it comes to our health and treatment. You and Dr. Bain will work as a team in order to reach your health goals.
Required forms will be attached in your confirmation email. Please complete all forms prior to your visit. Forms not completed 24 hours prior to your visit will result in cancellation.