Southern Illinois Associates LLC

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Please let us know the purpose of visit
Name*
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Statement of Understanding*
statement of understanding
I understand that I am requesting free consult with intake staff not with the provider (MD, NP, SW or other billable servicing provider).
If i choose to setup the consult with medical provider than me or my insurance will be billed.
MD= Medical Doctor or Psychiatrist
NP= Nurse practitioner or other mid level provider
SW= Social worker or Counselor etc
Consent*
I agree to the submiting my information via non-encrpted communication
Regulations require encrypted messaging systems for confidential communications.(THIS IS NOT ENCRYPTED COMMUNICATIONS).Please keep in mind that communications via email over the internet are not secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and read by other parties besides the person to whom it is addressed. Please do not include personal identifying information such as your birth date, or personal medical information in any emails you send to us. No one can diagnose your condition from email or other written communications, and communication via our website cannot replace the relationship you have with a physician or another healthcare practitioner.
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Call

(618)288-5019

Address

16 Junction Drive W, Ste 2,

Glen Carbon, IL 62034

Hours

Mon – Fri: 8:30 Am to 5 PM

2nd Saturday of every month:

From: 8:30 AM to 2 PM

We Are Here to Help

We are using state of art phone system which is fully integerated to our electronic medical record system. Once our system recognize you with your birth day, and name, then the transcript your message is created in your char. Now you can request and schedule appointment, request medication refills, and leave messages for staff and your provider. This phone system also serves as our after our phone service. So no more different phone number to remember, Just call one number 618-288-5019

Here are some tips to make the phone calls

Doctor, Hospital, urgent labs press 1

If you are a doctor, or calling from a hospital or an emergency room, or have urgent lab results, press 1

Call from or calling For Established Patient press 2

If you are an established patient or calling on behalf of an established patient and need to reach the doctor on call for an emergency, or request an appointment or get appointment information, or leave a non-urgent message for our office, press 2

Southern Illinois Associates LLC

Get In Touch

Patient portal