Evaluations and Interventions of Thinking Problems for Children, Adults, & Seniors
Evaluations and Interventions of Thinking Problems for Children, Adults, & Seniors

What to know before your appointment:

Before your visit with us, please make sure to bring the following with you:

  • The completed pre-visit questionnaire (links provided below),
  • Any pertinent medical records that you may have (if these are not readily available, a Release of Information form will be provided at your appointment for Thomson Memory Center to obtain your records),
  • Insurance cards

 

Pre-Visit Questionnaire for Children 17 and under
Child Medical Questionnaire.pdf
Adobe Acrobat document [277.4 KB]
Pre-Visit Questionnaire for Adults 18-30
Young Adult Medical Questionnaire.pdf
Adobe Acrobat document [304.0 KB]
Pre-Visit Questionnaire for Adults and Seniors
Adult Medical Questionnaire.pdf
Adobe Acrobat document [354.7 KB]
Pre-Visit Questionnaire for Post-Concussion Patients
Medical Questionnaire CONCUSSION.pdf
Adobe Acrobat document [286.5 KB]

LOCATIONS

(Click on a location for a map)

 

Hoffman Estates/South Barrington

2300 Barrington Rd. Ste 400

Hoffman Estates, IL 60169

 

Lake in the Hills

1301 Pyott Rd. Ste 103

Lake in the Hills, IL 60156

 

St. Charles

100 Illinois St. Ste 200

St. Charles, IL 60174

 

Highland Park

480 Elm Pl. Ste 202

Highland Park, IL 60035

 

Chicago- Uptown

4646 N. Marine Dr. Ste A-6150

Chicago, IL 60640

(Office inside Weiss Memorial Hospital)

 

Oak Brook

700 Commerce Dr. Ste 500
Oak Brook, IL 60523
 
 

Office: (847) 469-7537

Fax: (847) 469-7540

Email: info@thomsonmemory.com

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