2097 results found

Hospice Referral Form

How To Get Help Blessing Hospice Care is committed to providing care and support for patients and families during one of life’s most difficult times.  We want to make obtaining the needed information, care, and services easy.…

Early Learning Center Scheduling Form

Please fill out this form as completely as you can. Schedules are due by 5pm on the scheduling deadline. A $40 late fee per child will be added for forms not turned in by the deadline.To submit a schedule for a currently enrolled child of the…

Active Clinical Studies

The Blessing Clinical Research Department is currently participating in the clinical studies listed below. For questions or more information, please utilize our Contact Us form. Cancer …

Colorectal Screening Kit Request Form

This form is closed for 2025. Please contact our team at 217-223-1200, ext. 7718, to learn how you can receive a screening kit. Leave this field…

Provider Based Billing

Blessing Health System consists of medical clinics, hospitals and other facilities that serve the health care needs of people in our region. The community-based providers enable patients in the region to receive the…

BHS Sponsorship Request Form

All sponsorship requests for consideration by Blessing Health System must be submitted using the online form below or in writing using the printable form a minimum of 30 days prior to the event.  The form can be completed and mailed…

Bariatric Education - Mindful Eating Quiz

Patient First/Last Name Patient Email Address Our eating habits are influenced by: Emotions Thoughts …

Patient Family Advisory Form

Experience the Blessing Difference: Patient and Family Advisory Council At Blessing Health System we want members of our community to work with us to help us achieve our mission and vision by creating an environment where patients, families,…

Brain Injury Program

Brain Injury Program The Brain Injury Program at Blessing Inpatient Rehabilitation provides special care for patients who are in need of neurorehabilitation to help meet and surpass their rehabilitation…

Blessing Research Department - Contact Us

For more information about the Blessing Clinical Research Department team please email us at clinicalresearch@blessinghealth.org or call (217) 223-8400, ext. 7201 or fill out the contact us form below. …