Spina Bifida Clinic

FAX FORM TO: 309.624.5569 PHONE: 309.655.3800

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 should include:

The patient will be called to schedule the appointment. The referring physician office will receive a fax with appointment information.

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