What to Bring

The necessary new patient forms*:

• Registration Form
• Medical History Form
• Medical Release Form

*We kindly request that you do not email the completed documents back to us as we want to ensure that your private information remains as secure as possible.

• Insurance card
• Photo ID
• Physician’s prescription and/or referral, depending on the insurance requirement for therapy services
• Signed HIPPA information sheet that provides our policies and disclosures on you and your child’s rights and privacy under the Health Insurance Portability and Accountability Act

We recommend that you contact your insurance company to determine what therapy benefits your insurance policy provides. As a courtesy, our staff will contact your insurance company for a quote of benefits and eligibility.

Our Location

Centegra Milestones Therapy Center
394 Federal Drive
Crystal Lake, IL 60014
Phone: 815-459-3810
Fax: 815-356-3550