Walk-in care · Bolingbrook, IL
Patient Forms for Our Bolingbrook Clinic
You do not have to fill out patient forms at home before visiting Pioneer Physicians Urgent Care in Bolingbrook, IL. We’re open every day from 8 AM to 8 PM, walk-ins are welcome, and registration paperwork is done at check-in. Below is what to bring and the official forms for physicals.
- Open 7 days, 8 AM to 8 PM
- Walk-ins welcome
- X-ray and rapid tests on site
- Kids and adults
- Medicare and Medicaid plans accepted
What to bring to your visit
Bring these to check-in. The FDA’s free My Medicine Record is a printable form for your medicines, allergies and conditions; update it when something changes and bring it to every visit.
- A photo ID
- Your insurance card, if you have one
- A list of your medicines, vitamins and supplements
- Any allergies
Forms for school and sports physicals
For a school or sports physical, bring your child’s Illinois Certificate of Child Health Examination and any sports form from the school or league. A parent or guardian must complete and sign its health history section, so do that at home. We don’t give childhood vaccinations, so bring the shot record from your child’s doctor or the Will or DuPage County health department.
Getting ready for your visit
- 1Grab your cards
Photo ID and your insurance card, if you have one.
- 2List your medicines
Include vitamins, supplements and any allergies.
- 3Bring exam forms
School or sports forms and your child’s immunization record. DOT drivers on insulin bring Form MCSA-5870.
- 4Walk in or save your spot
Open 7 days, 8 AM to 8 PM. Walk-ins welcome, no appointment needed.
- 5Check in
Fill out any remaining registration paperwork when you arrive.
Forms for DOT physicals
Drivers fill out the medical history part of the federal Medical Examination Report Form, MCSA-5875 during the exam, so reading it ahead helps. Our DOT physicals run 7 days a week with an examiner certified on the FMCSA National Registry.
Your paperwork can wait until check-in
Bring your ID, insurance card and medicine list, then walk in or save your spot at our Bolingbrook clinic.
Filling out patient forms at our Bolingbrook clinic
Registration forms are filled out when you check in. Walk in, or save your spot online if you’d rather choose a time; after 8 PM, the booking page offers next-day times.
Insurance and self-pay
We accept Aetna, Cigna, Medicare, Blue Cross Blue Shield of Illinois, Illinois Medicaid plans, UnitedHealthcare and Humana; call to confirm your specific plan. Without insurance, you can be seen as a self-pay patient, paying for the visit plus any tests. Call for current self-pay pricing.
Getting copies of your records
Federal law gives you the right to see and get copies of your health information. HHS guidance says a provider normally has up to 30 days and may charge a reasonable fee. Call us to ask how to request yours.
The Pioneer walk-in visit
How a visit works
- Step 1Walk in or save your spot
No appointment needed. You can also save your spot online before you leave home.
- Step 2Check in
Bring a photo ID, your insurance card and a list of the medicines you take.
- Step 3See a provider
Get examined, with X-ray and rapid tests on site when you need them.
- Step 4Leave with a plan
You go home with a care plan and clear next steps.
Why families in Bolingbrook choose Pioneer
Walk-in care that fits real life
Open 7 days a week
8 AM to 8 PM, weekends included, so a Saturday sore throat does not have to wait until Monday.
X-ray and tests on site
X-ray every day we are open, plus rapid strep, flu and COVID tests, urinalysis and EKG.
Care for kids and adults
From infants through the teen years, and adults of every age, in one clinic.
Insurance and self-pay
Aetna, BCBS of Illinois, Cigna, Humana, Medicare, Illinois Medicaid plans and UnitedHealthcare. Call to confirm your plan.
Questions and answers
Questions we hear often
Still not sure? Call (630) 914-5373 and we will help you decide.
Do I have to fill out urgent care forms before I arrive?
No. Walk-ins are welcome, and registration paperwork is filled out when you arrive. One exception: for a school or sports physical, the parent or guardian should complete and sign the form’s health history section first. To ask about other forms ahead of time, call (630) 914-5373.
Can someone else bring my child to the visit?
Call (630) 914-5373 first to ask what the adult bringing your child, such as a grandparent or sitter, will need. We treat babies, children and teens. Give that adult your child’s insurance card and a written list of medicines and allergies.
Where can I get my child’s immunization record?
Start with your child’s regular doctor. If the Will County Health Department gave the shots, a parent or guardian can request records with its release form and a valid state-issued ID. Bring the record so the immunization section of the school form can be completed.
What should I bring to a DOT physical?
Bring your driver’s license and a list of your medicines. Wear or bring your glasses, contacts or hearing aids, since the exam checks vision and hearing. If you use insulin for diabetes, bring Form MCSA-5870, signed by your treating clinician within 45 days before the exam.
What if my insurance plan is not on your list?
Call (630) 914-5373 before you come. Plans from the same insurer can work differently, so we ask everyone to confirm their specific plan. If we don’t take your plan, you can pay as a self-pay patient instead; call us for current pricing.
Should I keep a copy of my child’s school physical form?
Yes. The original goes to the school, so take a photo or make a copy before you hand it in. Share it with your child’s regular doctor, and keep it handy in case a coach or league asks for proof of a recent physical.
Sources for this page
- My Medicine Record (Form FDA 3664). U.S. Food and Drug Administration.
- Certificate of Child Health Examination. Illinois Department of Public Health.
- Medical Examination Report (MER) Form, MCSA-5875. Federal Motor Carrier Safety Administration.
- 49 CFR 391.46, Physical qualification standards for an individual with diabetes mellitus treated with insulin. Electronic Code of Federal Regulations.
- Get it. Check it. Use it.. U.S. Department of Health and Human Services.
- Immunization Clinic. Will County Health Department.
- Immunizations. DuPage County Health Department.