811 W. John Street, Yorkville, IL 60560
For 24/7 Mental or Public Health Emergencies, call 630-553-9100
Monday - Thursday: 8:30am - 7:00pm   •   Friday: 8:30am - 4:30pm

Forms

Please fill out the necessary forms by hand in black or blue ink (or electronically) and turn them in at your next appointment. If you would like to register as a new patient with Kendall County Health Department, please contact (630)553-9100.

#1 Patient Insurance Form
#2 Patient Self-Pay Form
#3 Assignment of Benefits/Release of Information Form

 

 

Serving the Residents of Kendall County Since 1966
811 W. John Street, Yorkville, IL 60560   •   630-553-9100