Harrisburg Primary Medical Care












Request an Appointment

Use the convenience of our web site to schedule an appointment and save yourself a few extra "steps"!

Request an appointment online by completing the form below, or you may call us at 618-252-8625. Our office will contact you upon receiving your completed form.


Tell us about yourself:

* Required Information


Title / Salutation


First Name*


Last Name*


Daytime Phone Number*


Email Address*

Please indicate how you would like to be contacted:

Phone

Email

Have you been seen by the Primary Care Group before?

Yes

No


Which office location do you want to schedule?

*

Is there a particular physician you would like to see?

*


To schedule an appointment, choose a preferred date and time:

*(click for calendar)

*

We will contact you to confirm the date and time of your appointment.


*Please list the nature of your problem, question or comment:

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Primary Care Group
117 E Clark
Harrisburg, IL 62946

phone    618-252-8625
fax    618-252-2540
        

Sloan Medical Clinic
7211 US Highway 45
Carrier Mills, IL 62917

phone    618-994-2321
fax    618-994-2034

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