Please fill out these documents and bring the completed forms with you to your first appointment.
Complete estos documentos y traiga los formularios completos a su primera cita.
New Patient Forms
Formulario de
Paciente Nuevo
Minor New Patient Forms
Formularios para Pacientes Nuevos Menores
Youth Forms Rantoul Clinic
Jóvenes Formas Clínica Rantoul
Wellness Referral Forms
Good Faith Estimate
Request Medical Records
HealthMark Group is a trusted provider that helps practices like ours manage the release of medical records. We chose to partner with HealthMark to streamline the process and get you your records faster and more efficiently.
How do I request my medical records?
Once you enter your email, you’ll receive an email with HealthMark to log in (no username or password required!). Click on the “submit request” button and follow the prompts from there. You’ll receive an email as soon as your records are available for download.
