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:

Chicago

4801 W Peterson Ave
Suite 203
Chicago IL 60646

773-463-2377

Map

Elk Grove Village

800 Biesterfield Road
Brock Plaza, Suite 3005
Elk Grove Village, IL 60007

847-439-2314 

Map

Elmhurst

1200 South York Road
Center for Health, Suite 4190
Elmhurst, IL 60126

630-782-1174

Map

Or contact us by email:

Kevin C. Tu MD

drtu@gtortho.com

Christos S. Giannoulias MD

drgiannoulias@gtortho.com

Thomas Poepping MD

drpoepping@gtortho.com

Or contact us by phone:

Ms. Selita Navarro

Surgical Scheduling
Medical Assistant

773-463-2377

Ms. Julieta Ramirez

Medical Records
Medical Assistant

773-463-2377

Ms. Monica Kalaitzidis

Medical Assistant

773-463-2377