Thank you for choosing Advocate Good Samaritan Hospital for your upcoming surgical needs.

As a convenience to you, we are now offering our surgical patients the opportunity to complete their Registration online. Required fields for you to begin this process are your first and last names, date of birth, surgeonís last name and date of surgery.

You will need to have all of your insurance or workerís compensation information available in order to complete the Registration.

If you have any questions or need assistance with your Registration, please contact us at (630) 275-1662 or e-mail at:

Finally, as your surgery date approaches, a nurse will call to confirm your Health History, schedule any testing, and provide education for your upcoming procedure.

Online Registration and Health History

Surgery Search
Surgeon Last Name
Patient Last Name Patient First Name
Patient DOB Surgery Date