834 N. Seminary St. • Suite 406 • Galesburg, IL 61401 • 309-341-1300

RECORDS TRANSFER . . .
If you have been a patient of Dr. Stachniw’s and would like him to continue to provide your care at his new office, please click on the icon below to download a printable PDF of the Transfer of Records Form. Please fill out the printed form, sign it and either bring it to Dr. Stachniw's new office, or mail it to:

Midwest Orthopedic Services, sc
834 N. Seminary St. Suite #102
Galesburg, IL 61401

If you have a question, please call 309-341-1300.
click icon to download PDF