Forms & Policies

Patient Forms

Before your appointment with us, quickly and conveniently access patient forms from our practice. 

To view the forms listed below, you will need to download Adobe Reader. Please bring your completed forms with you to our office at the time of your visit.

Download Patient Forms

  • Coming Soon!

Office Policies


Appointments can be made by calling our office during normal business hours.

After Hours & Emergency Care

If you are experiencing an emergency, dial 911 or head to the nearest emergency room. For all other calls, call our office number at (309) 692-5100 and an on-call physician will return your call as soon as possible.

Prescription Renewals

Please contact your pharmacy to request refills of your prescriptions. In some instances, we may require that the patient be seen in our office prior to medication renewal.


All co-pays for office visits are payable at the time of service. We accept cash, checks, and most major credit cards and debit cards. Please contact our billing office should you have any financial questions or concerns.