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Download The Office Forms You Need

Below is a welcome letter and office policy to tell you a bit about our office family. There are also handy Office Forms in pdf format to download, complete and return prior to scheduling your initial visit.

If you need to have your prior physician send us medical information, please complete an authorization for release of records form and fax, mail, or take it to your prior physician.

When you have completed your registration forms please bring them to the office along with your insurance information so we may establish your care and schedule your initial appointment. You may also fax your completed forms to 217-422-3930 and then call to schedule your first office visit.

Please bring a payment method for your visit for any co-payments, lab work, or nutritional supplements you may need. Please also bring along current insurance information should we need to verify any details.

We also encourage you to bring along any prescription or over the counter medications you take so we can correctly enter them into your chart.

Click on the item you want to see/print and it will open in a new window.

Greeting Paperwork

Registration Paperwork - New Patients: Please complete ALL 6 of the forms below and return them to the office.

Hormone Registration Paperwork