Existing Patient - Pain Specialists of Greater Chicago

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.

Forms:

Patient Demographics
Signature Sheet
HIPAA Form
ARI 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)
New Patient Packet
Request Medical Records
Benefits Assignment Policy
Interventional Procedure Instructions
Credit Card Authorization Form
Patient Agreement for Controlled Substances

Policies:

Dr.Scott Glaser has by far been the best Pain specialist I've yet to see in all the years I've been managing my pain and going to different pain clinics. He actually cares and actually does not stop until he finds the root of the problem!! I have been suffering for over 25 years with spinal stenosis, herniated disks, bulging disks, and the worst sciatic nerve pain any person should ever have to endure. Dr.Glaser is very knowledgeable about his medical practice and I did my share of research before I came to him with all of my pain issues. He has helped me tremendously , and I, ONE MILLION PERCENT recommend him to EVERYONE AND ANYONE whom you may know who suffers in pain as I have throughout more then half of my pain ridden life. I have had joint facet injections as well as other procedures from him and he has healed the excruciating pain in my neck that I thought would never heal, it was so bad I couldn't even sleep comfortably. So if you are looking for a wonderful Dr. , look NO FURTHER!!! Dr.Scott Glaser is your man!!! His logo should be ...WWW.THE BOMB.COM!!!!!! KEEP UP THE GREAT WORK DOC!! YOUR AMAZING:)

Jackeline R

I cannot speak highly enough of Dr Glaser and his staff. Dr. Glaser goes above and beyond for his patients. He’s always willing to listen, never rushes your appointment and really cares for his patients. His staff is professional and caring. When I leave a message, they always call you back. Dr Glaser and his staff are 5 star. Do yourself a favor and schedule an appointment with Dr. Glaser, you won’t be disappointed.

Karen M