Enter your insurance card informationPolicy Holder Name Policy Holder Name Member ID or Subscriber ID Member/Subscriber ID Group Number Group Number Policy Holder's Birth Date Policy Holder's Birth Date Claims Mailing Address Claims Mailing Address Insurance Carrier Insurance Carrier
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Your reserved time slot is: {appointmentTime1}
If you wish to cancel an appointment, call 309-962-3123
IF YOU DO NOT RECEIVE A CONFIRMATION NUMBER OR EMAIL, YOU MUST TRY REGISTERING AGAIN FOR A DIFFERENT TIME SLOT.
IF YOU DO NOT HAVE A CONFIRMATION NUMBER UPON ARRIVAL, WE WILL NOT TEST.
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