Patient Care
Our Young Patients Come First
New Patients
- Insurance Card
- AETNA
- BLUE CROSS BLUE SHIELD (BCBS) PPO
- HUMANA
- MEDICAID (ALL KIDS ILLINIOS HEALTH CONNNECT)
- TRI-CARE
- CIGNA
- UNITE HEALTHCARE
- Parent’s ID
- Immunization record
- Patient’s previous medical history
(Patient’s previous medical history may be requested from your previous primary care provider by completing the following release form and sending it to your previous primary care provider.)
New Born Babies
- Parent ID
- Discharge Papers for the Newborn
- Hearing and screening test results
- Immunization Record (1st Hepatitis B Vaccine record) you can download the form from here
All new patients: Please arrive 15 minutes prior to your visit to complete registration process. We E-prescribe! All prescription will electronically go to the pharmacy of your choice. Please call your pharmacy to ensure your prescriptions are ready to be picked up.
Forms
Please review the forms. Please do not hesitate to contact us if you have any questions or concerns.
Please check: Registration Form
Please check: Medical History
Please check: Notice of Privacy Practices
Please check: Our Policies
Please check: Authorization of Release of Record
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