Glen Carbon

(618) 692-6700

Highland Pain Relief Center

618-654-3900

Online Forms

Integrated Medical Group offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.
 
 Required
icon_download.gifWelcome to Our Office
icon_download.gifPatient Health Questionnaire Form
icon_download.gifPatient Vital Intake Questionnaire Form
icon_download.gifAuto Accident Form
icon_download.gifWorkers Comp Form
  
 

Your privacy is important to us. All information received in the above forms and through other communications is subject to our Patient Privacy Policy.


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Locations

Click the location of your choice

Office Hours

Our Regular Schedule

Southern Illinois Physicians Group

Monday

8:00 am - 5:00 pm

Tuesday

8:00 am - 11:00 am

Wednesday

8:00 am - 5:00 pm

Thursday

Closed

Friday

8:00 am - 5:00 pm

Saturday

Closed

Sunday

Closed

Highland Pain Relief

Monday

9:00 am - 6:00 pm

Tuesday

9:00 am - 6:00 pm

Wednesday

9:00 am - 6:00 pm

Thursday

9:00 am - 6:00 pm

Friday

9:00 am - 5:00 pm

Saturday

Closed

Sunday

Closed

Glen Carbon Office

Monday

9:00 am - 6:00 pm

Tuesday

9:00 am - 6:00 pm

Wednesday

9:00 am - 6:00 pm

Thursday

9:00 am - 6:00 pm

Friday

9:00 am - 5:00 pm

Saturday

Closed

Sunday

Closed

Southern Illinois Physicians Group

Monday
8:00 am - 5:00 pm
Tuesday
8:00 am - 11:00 am
Wednesday
8:00 am - 5:00 pm
Thursday
Closed
Friday
8:00 am - 5:00 pm
Saturday
Closed
Sunday
Closed

Highland Pain Relief

Monday
9:00 am - 6:00 pm
Tuesday
9:00 am - 6:00 pm
Wednesday
9:00 am - 6:00 pm
Thursday
9:00 am - 6:00 pm
Friday
9:00 am - 5:00 pm
Saturday
Closed
Sunday
Closed

Glen Carbon Office

Monday
9:00 am - 6:00 pm
Tuesday
9:00 am - 6:00 pm
Wednesday
9:00 am - 6:00 pm
Thursday
9:00 am - 6:00 pm
Friday
9:00 am - 5:00 pm
Saturday
Closed
Sunday
Closed