Jennifer E. Richards, MD
Resources
Medical Release Form
If you wish to join Real Family Medicine please complete this form and mail it to your current medical provider to get your records released.
Membership Agreement
Please review, sign and return our membership agreement.
Privacy Practices
Please review, sign and return our privacy practice agreement.
Consent for use of PHI
Patient consent for use and disclosure of protected health information.
Memory Care in Illinois
This website highlights memory care costs in facilities throughout Illinois, outlines the benefits of obtaining care in this state and lists some agencies and programs that help seniors and families navigate the system.
506 Elevator Street • Farmersville, IL
Hours: M, T, Th, and F 9:30 a.m. to 4:30 p.m.
Mailing Address: PO BOX 198 • Farmersville, IL 62533
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(217) 269-5888