Referring your Patient to us:

To refer a patient to us, please utilize our "Patient referral Form".

Please,fax the completed form to (217) 718-4306

We will evaluate the form, as soon as possible,and contact the patient directly to schedule an initial consultation visit.

We would like to thank all our referring providers. We appreciate your trust in the quality of our patient care.

133 E. Barnett Avenue Unit 4 Forsyth, IL 62535

For Life-Threatening Emergencies Call 911

© 2017 Guardian Interventional Pain Management Institute,LLC. 

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