Advanced Therapy & Wellness Center

New Patient Inquiry

Welcome to a new standard of care

Thank you for your interest in care with us! Please complete the form below to begin your journey. Once submitted, you'll receive an email within 24 business hours with access to our secure patient portal. There, you'll find all required intake forms that must be completed before your evaluation session can be scheduled.

Our mission is to provide highly skilled, whole-person care that creates a lasting impact on your health and well-being. We envision a world where wellness is not just accessible, but prioritized, where you feel heard, valued, and empowered. Welcome to a new standard of care!

Who is completing this form?
Is the patient a minor or an adult?
Second contact

Someone else we can reach about scheduling and care, in case we cannot reach you.

What are you interested in? Choose all that apply.

* Required. Questions? Call 815-782-4196.

The information you share here is kept confidential and used only to coordinate your care.