Location: Champaign, IL
Phone: (812)-682-0323
Fax: (888)-875-7436
Email: [email protected]

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Appointment Request

We are happy you are reaching out to us.    Please use this form to:

  • Schedule an  initial evaluation (please indicate if you have a physician referral)
  • Obtain more information

...or feel free to give us a call at  812 682 0323

We are committed to your privacy. 

Do not include confidential or private information regarding your health condition in this form or any other form found on this website

Request to Connect

Appointment availability upon request.

Sessions may occur in the clinic, community or your home within the Champaign Urbana region, depending on your needs and goals.

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