Online Registration

 

If possible, please complete this form at least 2 business days prior to your scheduled procedure.

The following items will help with the online pre-registration process:

  • Name of physician who ordered the procedure.

  • Date of the scheduled procedure.

  • Personal, employment, and contact information.

  • Insurance information. Please have your insurance card(s) available.

The online pre-registration process should take no longer than 15 minutes to complete. You will receive a confirmation page and confirmation email.

More Information

If you have any questions, please contact Pre-Registration at 217-347-1371. Our office hours are Monday-Friday, 6 a.m. to 6 p.m.

Day of the procedure

 


The day of the procedure, please enter through our Patient Entrance off of Mulberry Street and present at the registration desk to sign the Consent for Procedure form and have your insurance cards available.

Depending on your insurance, you may be asked for a deposit of $250.