Request an Appointment

Please complete the form below to request an appointment with an SIU Medicine provider. A representative will contact you within 2 business days to review your submitted information and help you create an appointment.

If you prefer to call us to schedule an appointment, our number is 217-545-8000. Representatives are available Monday-Friday, 8 a.m. to 4:30 p.m.

If this is a medical emergency, please call 911.

Appointment Details

Patient Information

Insurance information is required so that we can best match doctors' accepted insurance plans with patients' plans.

Optional Information