FAX FORM TO: 309.691.4408 PHONE: 309.683.7373

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:

Our office will contact the family as soon as a referral is received. A packet will then be mailed to the family which includes a reminder of the appointment date/time, name of doctor they will be seeing, map with directions, and a patient questionnaire.

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