ContactJoliet Centerfor Clinical Research
210 N Hammes Ave
Joliet, Il 60435
Appointments: 815-729-7790 ext 1
Billing: 815-729-7790 extension 3
If you are currently in crisis or experiencing thoughts of suicide; thoughts of harm to self or others; unusual or erratic behavior or moods, please call 911 or go to your nearest hospital or Emergency Room immediately. Please be aware that there will be no one to take your call if it is after hours or a non-business day including Sat., Sun and holidays. Please allow one business day for a response to any message left for the office.
What to Bring to Your Appointment If You are a New Patient at JCCR
- Picture ID
- Insurance card
- List of prescription medications and dosages
- Current contact information
- Emergency contact information
- Any and all relevant Psychiatric records such as office/hospital notes
If you are a New patient and would like to set up an appointment with our providers; please fill out the form below.
New Patient Paperwork
You will need Adobe Reader or another pdf reader to open the file.Note: To download Adobe Acrobat Reader for free, click here.
If you are scheduled for an initial evaluation, please click on the link below, print, fill it out to the best of your ability, and bring or mail the completed form for your first appointment.
Please contact your insurance company directly to verify coverage for new patients seeing their health providers.
*Please remember to bring your Insurance Card, Medical and Psychiatric History Information, and all your medications to your first visit.
We've included several ways to contact us. Please give us a call, send an email, or simply fill out the form on this page to contact our medical practice. We look forward to speaking with you.