Please feel free to download and complete the Patient Information and Authorization/Release/Agreement forms before your first appointment at our office or your annual exam. These forms can also be completed in office at the time of your appointment.
If you would like us to obtain your records from another office or individual, please use the third form. The fourth form listed is needed for us to send your care records to another office or individual. Both of these forms can be completed and signed in office, or the completed form can be faxed to us 309-661-6446. Due to privacy, we cannot accept this form via email or any other means besides in-person and via fax.