New Patients
Our doctors and staff are dedicated to providing you with a pleasant visit and results that you’re proud to show off. Our administrative staff is ready to help you with questions about scheduling, financial policy and insurance, and to make that part of the process as simple as possible. This section below offers information and resources regarding your visit, if you should have any questions or require additional assistance please feel free to call our office directly at (815) 577-9900. Your confidence in our care is our most important priority. We invite you to read reviews and patient testimonials here. We have the best patients!
Patient Forms
Save time at the office by downloading and filling out our patient forms by clicking the links below:- Adult (502 KB)
- Child (99 KB)
- Financial Policy (140 KB)
- Acknowledgment of Receipt of Privacy Practices (46 KB)
- HIPAA Patient Consent/Acknowledgement Form(32 KB)
- Notice of Privacy Practices(48 KB)
- COVID Consent Form(86 KB)
- Automated Communication Consent Form(86 KB)
- Credit Card on File Consent (99 KB)
Formas de Pacientes en Español
Ahorre tiempo en la oficina descargando y completando nuestros formularios para pacientes haciendo clic en los siguientes enlaces:- Adulto (464 KB)
- Niño (64 KB)
- Política Financiera (100 KB)
- Formulario de Autorización de la Tarjeta de Crédito (97 KB)
- Información del Seguro (43 KB)
- Formulario de consentimiento de comunicación automatizada (139 KB)