New Patients

In order to serve you better and faster we have provided our New Patient Information Form online.

Complete you Medical History Information Online

This allows you to complete your new patient information online. After you enter all of your information, click on the 'Submit' button and your information will be sent to our office electronically! Click the link below to begin the process.

•   Online New Patient Information Form



•   Printable New Patient Information Form*



•   Patient Privacy Policy

*You must have an Acrobat Reader to view the Acrobat files. Download Acrobat Reader Free.

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Primary Care Group
117 E Clark
Harrisburg, IL 62946

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