Download and complete your forms and save time!

In order to expedite your check-in process, 217 Immediate Care requests that you try to complete all paperwork prior to your visit. Please download your required forms below.

If you need assistance with completing your paperwork, please call the office at 217.351.3116, and we will be happy to assist you. Ask for 217 Immediate Care.


In order to download patient forms you must have Adobe Reader. If you do not have Adobe Reader, please click here to download the program.