Kent A. Tarro, M.S., R.D., Administrator 1-888-369-9510 | 217-854-3223 ex 224  


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 Macoupin County Maple Street Medical Clinic General Information

 

Macoupin County Maple Street Medical Clinic offers preventative and basic medical services for patients ages newborn and over regardless of insurance coverage.

 Services for adolescents include: sports physical, school physicals, immunizations, well child check-ups and ill child check-ups, nutritional counseling, STI screening, prevention, education and treatment, and behavioral counseling services.

 Services for adults include: routine well woman check-ups, Illinois Breast and Cervical Cancer Program, nutritional counseling, STI screening, prevention, education, and treatment, and behavioral counseling services.

 We cover all health care needs for the entire family at reduced fees.

 If you have a medical emergency and cannot reach us, please go to the nearest emergency room or dial 911.

 Please visit the American Academy of Pediatrics at www.aap.com and follow the patient education services. You may also try www.redbook.com for more helpful information.

 Adult patients seeking medical service that have an Illinois Medicaid Card please dial 1-877-912-1999 and when prompted please enter the PCP ID number 06400013.

 

Patient Paperwork:   Consent Form for All Children 18 and Under

                                    Patient Registration Form

                                    HIPAA Forms

                                    History and Physical Forms

 

You may either bring these papers in with you at your appointment or mail them in at least one week prior to the appointment date. Please arrive 15 minutes earlier than the scheduled appointment time to complete any necessary paperwork updates.

Clinic Hours of Operation:

Monday: 8a.m. - 6p.m.

Tuesday: 8a.m. - 6p.m.

Wednesday: 8a.m. - 6p.m.

Thursday: 8a.m. - 7p.m.

Friday: 8a.m. - 5p.m.