FAX FORM TO: 309.624.8884 PHONE: 309.624.9844

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be faxed include:

When the appointment is scheduled, the referring physician office will receive a fax with the appointment information. In addition, an appointment card, driving directions, and patient information form will be mailed to the patient.

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