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Have you been seen at OCI before?
YesNo
Insurance Plan
Beech StreetBeech Street/Medicare AdvantageBlue Cross Blue ShieldCignaConsociateHealth Alliance CCO Self-Funded PlansHealthLink HMOHealthLink PPOHumana / Humana AdvantageMedicaid (Requires Physician Referral)MedicareMedicare Humana HMO (Requires Physician Referral)PHCSPHAI HMO IllinoisUnicare HMOUnicare PPOOther (Not Listed)
Were you injured on the job? *
Reason for your visit
AnkleElbowFootHandHipKneeShoulderWristSpineOther (describe below)
Have you been seen for this problem before? *
Please choose a physician for your visit
First AvailableDr. AllanDr. BenderDr. ChurchDr. GravesDr. HerrinDr. IdusuyiDr. MaenderDr. MulshineDr. SenicaDr. SharmaDr. VanFleetDr. Watson
Please choose a location for your visit
SpringfieldJacksonvilleLitchfieldLincolnDecatur
What time would be better?
AMPM