Please fill out the appropriate forms.
You can mail the forms to 900 Hitt Street, Ottawa, IL 61350
or fax to 815-431-9889

If you feel uncomfortable providing certain information online, Calhoun Consultants will call you directly to obtain the required information.

Click on the document you need to get started.

13 and Up

• New Patient Packet
• Calhoun Consultant Policies
• Medicaid/Illinois Public Aid Policy
• Notice of Privacy Practices Patient Acknowledgement
• Authorization to Release Information

12 and Under

• New Patient Packet
• Calhoun Consultant Policies
• Medicaid/Illinois Public Aid Policy
• Notice of Privacy Practices Patient Acknowledgement
• Authorization to Release Information