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Our Registration Forms

Registration Procedure

For registration, please take the time to print out and fill out our form. Use the form button below to download the form. You can always stop by Endocrine & Diabetes SC and do it in person.
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Health care

Please Bring the Following Information on Your First Visit

  • A complete list of all your medications
  • If you are a diabetic, please bring your meter or blood sugar readings with you
  • The completed enclosed patient information sheet
  • All current insurance cards and a valid photo ID

Renewal of Prescriptions

If you are in need of a renewal on your prescription, call the pharmacy during our regular office hours (Monday to Thursday); they will contact us to verify your prescription.

It is always with the physician's final approval that prescriptions are renewed. If you have not been seen by a physician during the past 6 months or longer, an office visit will be required before renewal.

If you have an emergency after our office hours, please go to the hospital emergency room of your choice for assessment by an E.R. physician.
Call us to schedule your appointment at 309-691-7640.
We can see our patients by appointments only and request that you call well in advance so that a convenient time can be reserved for you. We make every effort to honor all time commitments and request that you extend the same courtesy to us.
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