About Whole Family Wellness Taylorville

Before your visit

Please view the forms below. Print, complete, and bring any relevant forms to your appointment. If you are unable to print, we will have forms available in our office. Please arrive 15 minutes before your appointment to complete.

Medical Forms

Patient Medical History (pdf)Download

State of IL - Child Physical Form (pdf)Download

IHSA/IESA Sports Physical Form (pdf)Download

Religious Exemption Form (pdf)Download

accepted insurance providers

BCBS • BCBS Choice Preferred • Healthlink Springfield City • United Healthcare • Aetna • Cigna

Health Alliance • MHBP Federal/postal workers

At this time we are unable to accept State of IL employee insurance.

We do offer reasonable, out-of-pocket appointment and lab fees.

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