Contact G&T Orthopaedics
Standard Patient Intake Form
If you are suffering an injury/pain that occurred during the course of your daily activities (NOT including work), download this form, fill it out and present it to the front desk upon your visit to our office.
Click Here to download Standard Patient Intake Form (PDF)
Workers Compensation Intake Form
If you are suffering an injury/pain that occurred during the course of a work-related activity, download this form, fill it out and present it to the front desk upon your visit to our office.
Click Here to download Workers Compensation Intake Form (PDF)
Independent Medical Examination (IME) Intake Form
If you are receiving an Independent Medical Examination (IME) under the direction of an insurer or attorney for a court related matter, download this form, fill it out and present it to the front desk upon your visit to our office.
Click Here to download Independent Medical Examination (IME) Intake Form (PDF)
HIPPA Notice of Privacy Practices
G&T Sports Medicine takes privacy issues very seriously.
Click Here to read our privacy policy (PDF)
Intake Forms
At G&T Sports Medicine we do our best to make things quick and easy for you. To help expedite the registration process at our office, download and print the appropriate form, fill it out and bring it with you to your scheduled visit.
3 locations from which to serve you:
Elk Grove Village
800 Biesterfield Road
Brock Plaza, Suite 3005
Elk Grove Village, IL 60007
Or contact us by email:
Kevin C. Tu MD
Christos S. Giannoulias MD
Thomas Poepping MD