If you are an existing patient needing help, we have a few options for you.
1. Use our patient portal.
2. OR – Call us at 630-371-9980
3. OR – If you are having any difficulty with the phone system, please email at PatientHelp@painchicago.com
4. OR – fill out the following form:
Please complete pain diagram and bring to your appointment. If there are any Demographic/Insurance changes or HIPAA updates, please complete and bring to your appointment. Thank you.
- Patient Demographics
- Pain Diagram
- HIPAA form
- Requisition for Forms – FMLA and Other
- Authorization for Release of Medical Records
(Please complete a request for form and fax it to our office at 630-371-1555. There is a 10 business day turnaround time)
Dr Glaser has relieved much of my husband's pain, in his back and in his knees. I think he's a godsend!
I see Dr Goodman, he is fantastic and has given me hope again. He has done several procedures on me plus Dr Goodman and staff make you comfortable. He really spends alot of time with you and explaining your condition and plan of action. I highly recommend Dr Goodman!