FORMS
These are the forms for Dr's Pan and Wood in St. Charles.
Please click the link at the BOTTOM of the page that says "St Charles New Patient Paperwork" to fill out the new patient paperwork for Dr. Min Pan or Dr. Michele Wood. Click where it says 'Start Filling' in green. When you're done hit 'SUBMIT', also in green.
This is a safe and secure way to fill out the paperwork, and it comes directly to us. We MUST have the paperwork back prior to your appointment, unless you're coming in, and we've mailed it to you, then it must be filled out, otherwise we WILL have to reschedule your appointment. We're doing all we can to limit visitors and patients in the waiting room due to Covid-19.
New patients doing tele-visits also need to either email or fax back the front and back of their insurance card/s and the front of their photo ID. Please let us know if you've had any recent testing, MRI's/CT Scans, etc, before you come in.
These are the forms for Dr's Pan and Wood in St. Charles.
Please click the link at the BOTTOM of the page that says "St Charles New Patient Paperwork" to fill out the new patient paperwork for Dr. Min Pan or Dr. Michele Wood. Click where it says 'Start Filling' in green. When you're done hit 'SUBMIT', also in green.
This is a safe and secure way to fill out the paperwork, and it comes directly to us. We MUST have the paperwork back prior to your appointment, unless you're coming in, and we've mailed it to you, then it must be filled out, otherwise we WILL have to reschedule your appointment. We're doing all we can to limit visitors and patients in the waiting room due to Covid-19.
New patients doing tele-visits also need to either email or fax back the front and back of their insurance card/s and the front of their photo ID. Please let us know if you've had any recent testing, MRI's/CT Scans, etc, before you come in.
Click link below to begin filling out new patient paperwork.
Forms for returning patients
Please click the links below if you would like to update your HIPAA information or need to request your medical records.
Please click the links below if you would like to update your HIPAA information or need to request your medical records.