By using this questionnaire you have agreed to the Health Note Terms of Use Privacy Policy & HIPAA Authorization (View details). If completing for someone else, please provide the patient's information when scheduling. If you are experiencing anything that needs immediate attention or the availability does not match your needs, please call our office at (217) 280-9677 and we will happily assist. If you are experiencing a medical emergency, please dial 911. All patients should review the list of in-network insurance providers on our website (list here) or contact our Patient Advocate Center at (217) 391-7086 to discuss out-of-network options.