First Health Medical Center

Patient Forms

Easy-to-Print Patient Forms

Kindly send your completed form to firsthealthmedicalcenter@gmail.com. Don’t forget to include details of your upcoming scheduled appointment in the email for our records.

Alternatively, you can fax the form to us at 815-205-4545.

Take Control of Your Health Today

At First Health Medical Center, your health and well-being are our top priority. Discover personalized treatment plans designed to address the root cause of your health concerns. Begin your journey towards better health with us.