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. |
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