Modern Health LLC
All fields are required
Type of Visit
New Patient Visit
Existing Patient
Follow-up Visit
Sick Visit
Lab Draw
Weight Loss (NEW)
Weight Loss Follow Up
ADHD New Patient
ADHD Existing Patient
IUD Removal
IUD
ADHD New Patient Zoom
ADHD Existing Patient Zoom
Monthly Check up
Adult Wellness Physical
Work/school Physical
Child Well Physical
Medication Management
Office
Modern Health LLC
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Requested time
Select a time below under Available Times
Office Address:
2440 Highview St. Spring Grove IL 60081
2440 Highview St. Spring Grove IL 60081
New and Existing patients can make appointments online.
Office Phone:
+1 815-900-7330
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
15 minutes
Submit Appointment Request
You will receive an email confirmation.
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Action Required: Confirm your appointment