Senara provides copies of our intake form(s) online for new Medical Spa guests. Available as downloadable PDFs, you may fill out your intake form at your convenience before your first visit with us. Completing forms ahead of time will allow us to process your basic information prior to your initial visit, and keep your appointment running on schedule. If you are unable to complete this form prior to your initial visit, please plan to arrive to your appointment at least 15-30 minutes early to fill out paperwork.
If you have not scheduled your initial appointment yet, please call 309.285.8979 prior to filling out forms.
To download and print your intake form, please follow these steps:
- If AdobeReader® is not yet installed on your computer, download it first.
- Using AdobeReader or AdobeAcrobat, you can download forms, print them out and fill-in the required information.
- Forms you can download are listed below. Please download and complete the appropriate form for your scheduled appointment.:
Guests scheduled for any of our Allopathic Treatments or Lipotropic Injections, please visit our Medical Weight Loss OR Anti-Aging Centers Online Registration section. Forms and scheduling information for those services can be found there. If you have any questions, please feel free to call our front desk at 309.285.8979. They would be happy to assist you.
Email us your completed forms, or, you can print and bring it with to your appointment and present it at check-in.