Schedule an Appointment

Use the convenience of our web site to schedule an appointment and save yourself a few extra "steps"!

Schedule an appointment online by completing the form below, or you may call us at 815-899-3338 (FEET). Our office will contact you upon receiving your completed form.


Tell us about yourself:

* Required Information


Title / Salutation


First Name*


Last Name*


Daytime Phone Number*


Email Address*

Please indicate how you would like to be contacted:

Phone

Email

Have you been seen by Dr. Starkweather before?

Yes

No


To schedule an appointment, choose a preferred date and time:

*(click for calendar)

*

We will contact you to confirm the date and time of your appointment.


*Please list the nature of your problem, question or comment:

Phone Number:
815-899-FEET (3338)

Fax Number:
815-899-3332





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