Patient Resources

If you are a new patient, you can print the necessary forms below. If you would like to make a payment, click here to skip to the payment form.

New Patient Forms

In order to better meet our patients' needs we have included a link to our registration form. Click on the link and print and complete the form prior to coming into the clinic for your initial evaluation.

Pay Your Deductible/Co-Pay Online

We accept payments in the form of cash, check, Visa, Mastercard, or Discover at each of our clinics. For your convenience, we also accept online payments via PayPal. As always we appreciate your business and prompt payment.

If you have any questions, please contact us at 815-756-8524.

By clicking the link below, you will be taken to a secure PayPal page in order to complete your payment.