Alpha Pain & Wellness Center | New Patient Information

3253 South Harlem Ave Suite 1B Berwyn, IL 60402
708.788.3880	See Map

We provide all of our new patient forms online so you can complete them in the convenience of your own home.

- New Patient Information
- Worker Compensation Information
- Vehicle Accident Information
                                 - Consent Form
                                 - HIPAA Policy
                                 - Medical Record Request

If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download it for free.
Click on the necessary form, print it out and fill in the required information.
Please bring your printed and completed forms with you to your appointment and save time on your visit!

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TESTIMONIALS

“I was so impressed with Dr. Ahktar and his staff that I decided to start decompression therapy right away. I am glad to have found an answer to my pain without the risks of surgery. Thank you Alpha Pain and Wellness! "

-K. Bailey