Al-Shifa Health Center

Patient Forms

We offer our patient forms online so they can be completed in the convenience of your own home or office before you arrive for your appointment. 

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) at (630) 679-0316 or bring it with you to your appointment.

Patient Information Sheet

Patient Financial Agreement

Patient Health Information Consent Form

Contact Us Today!

We look forward to hearing from you.

Office Hours

Our General Schedule

Monday:

By Appointment Only - Emergency Cases

Tuesday:

9:00 am-12:00 pm

3:00 pm-7:00 pm

Wednesday:

2:00 pm-5:00 pm

Thursday:

9:00 am-12:00 pm

3:00 pm-7:00 pm

Friday:

9:00 am-12:00 pm

3:00 pm-5:00 pm

Saturday:

8:00 am-11:00 am

Sunday:

Closed

Our Location

319 Veterans Pkwy. | Bolingbrook, IL 60490