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New Patients

Please download and complete these forms to bring with you to your first appointment.

 

New Patient Welcome Letter
new patient welcome letter.pdf (71.50 kB)
Credit Card Authorization
credit card authorization form.pdf (44.00 kB)
HIPAA Consent Form
hipaa consent form.pdf (71.50 kB)
HIPAA Policy
hipaa policy.pdf (80.00 kB)
Office Policies
office policies.pdf (153.50 kB)
Patient Financial Information
patient financial information form.pdf (103.00 kB)
Patient History
patient history form.pdf (404.50 kB)
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“The most beautiful things in life cannot be seen, not touched, but felt with the heart.” Helen Keller

Office Hours

Saturday & Sunday
Closed

Monday - Wednesday & Fridays
7:30am – 4:30pm

Thursdays
8:00am – 12:00pm (Eureka & Clinton only)

1:00pm – 5:00pm  (OSF Community Prenatal Clinic only)

Office Phone: (309) 663-6338
Office Fax: (309) 661-5644
Billing Dept: (877) 749-6467