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Request Appointment

Request Appointment

Contact Us

To schedule an appointment or to become a patient,                                                              please call (217) 356-1558.

  • Walk-ins and urgent care are accepted.
  • New patient forms can be found here.

Please bring a picture I.D., insurance card, previous medical records, and current medications. Proof of income is also helpful to assist you with any financial assistance you may qualify for, but it is not required.

Access to healthcare is our mission. We accept most insurance, Medicaid, and Medicare. A sliding fee scale is available; we treat anyone regardless of their ability to pay.

At Promise Healthcare, we prioritize your satisfaction with all our services. We are committed to addressing any concerns or feedback you may have promptly and effectively. If you have any comments or concerns, please call our 1-888-MYCOMPLY hotline within 24 hours of the incident. Your feedback helps us improve and provide the best care possible.

This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status concerning specific health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

As of January 2022, patients who do not have insurance or are not using insurance are entitled to an estimate for the cost of their upcoming appointment.

Referred to as a Good Faith Estimate, it will include the total expected cost of any non-emergency items or services. The estimate includes related costs like medical tests, prescription drugs, and equipment.

Patients will receive the Good Faith Estimate in writing at least one business day before the service or item, as long as it is scheduled at least 3-days out.

You can dispute the bill if you receive at least $400 more than the Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises  or call 1-800-985-3059.

Appointment Request

Full Name:
Date of Birth:
Phone Number:
Email Address:
Reason For Appointment:
Please provide any relevant details about the reason for your visit (e.g., symptoms, concerns, or specific needs):
Preferred Location:
Preferred Date:
Preferred Time:
Insurance Provider:
Are you a new patient?:
I agree to the HIPAA privacy practices:
I consent to be contacted via phone, text, or email regarding my appointment request: