New Client Forms



All new client paperwork is due 72 hours prior to your first appointment.

Downloadable forms may be sent via fax, mail, or email.

Please note that email is the least secure method of transmission.  

Fax: 847-886-7251
Email: [email protected]

Mail to: 

Eric Tivers
Tivers Clinical Specialties, PC
26575 W. Commerce Dr. Unit 506
Volo, IL 60073

Please allow additional time if using US Postal Service.

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