Leasenby Clinic - Appointments
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To Make An Appointment

If you believe The Leasenby Clinic may be right for you or your children, please contact us via the phone number or email address listed below. We will contact you in 24 business hours or less (unless you instruct a later time) to answer any questions you have and, when you are ready, schedule your initial visit.

To discuss our alternative healthcare treatments in more detail and set up an appointment, please email or phone our office with the required information below. You may also fill out the below form which will be sent to us directly. We will call you back within business hours on the next business day or less, unless you instruct a later time:
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Required Information

Name:

Email:

Street Address:

City:

State:

Zip Code:

Phone Number:

Best time/day to call:

Insurance (Fill out if you would like us to check your benefits)

Name of Insurance Company:

Name of the person who is Primary on the insurance:

Birth date of the Primary insurance holder:

Name of the Patient:

Relationship to Primary:

Policy number:

Group number:

Insurance Co. telephone number: (found on the back, look for benefits)



* After submitting, you will automatically be redirected to the main page of this site

  Or if you wish to email or call us,
Email : drtleasenby@aol.com
Phone: 630.851.9222
   
  PLEASE NOTE: All the information you provide in the email or phone will only be used for the office staffs' purposes of contacting you, answering your questions, and setting an appointment. Your information will never, in any way, shape or form, be submitted to or utilized by any third party.
   

Copyright © 2006 The Leasenby Clinic. All rights reserved.
3831 McCoy Drive Suite 101, Aurora IL 60504 - (630) 851-9222