Thomas Kiely, DPM
Mark Pietz , DPM
Charles Reilly , DPM

In order to eliminate excessive wait times for filling out paperwork, the doctors at Chicago Foot Health Centers have created a way to fill out your registration paperwork from the comfort of your own home or office. Hopefully, you will find utilizing this option will decrease the stress of your wait time and allow you to focus on your medical issues and the doctor's recommendations.

Simply click on the link below (in Internet Explorer only) and complete the necessary medical questionairre. (note: you must have an appointment already scheduled at our office. Please call 773.296.7160 to make your appointment)

your LOGIN is:

  • 1st initial of your first name
  • your entire last name
  • and your date of birth (using 2 digits for the month, 2 digits for the day, 4 digits for the year)
  • [ example = jdoe01211971 ]

your PASSWORD is:

  • your entire last name
  • and your 10-digit phone number
  • [ example = doe7732967160 ]

All of these should be lower case. No commas. No dashes. No spaces.

Please try this exciting new method!

If you have any questions, please contact the office at 773.296.7160 .



Chicago Foot Health Centers
Illinois Masonic Medical Center • The Loop • Tinley Park

Podiatrist - Foot Surgery - Chicago - Illinois
Foot Doctor Chicago IL - Foot Doctor Chicago Illinois
Podiatrist Chicago IL - Podiatrist Chicago Illinois
Foot Doctor Tinley Park IL - Foot Doctor Tinley Park Illinois
Podiatrist Tinley Park IL - Podiatrist Tinley Park Illinois
Foot Doctor The Loop IL - Foot Doctor The Loop Illinois
Podiatrist The Loop IL - Podiatrist The Loop Illinois
Foot Surgeon Chicago Illinois
Foot Surgeon Tinley Park Illinois