Quincy Medical Group is pleased to offer you a variety of ways to receive your appointment reminders. Once you’ve chosen the reminder that works for you, you may opt out of others. Please fill out the form below. Should you have any questions, please contact Erin Lummer at 217-222-6550, ext. 3077 or email her at elummer@quincymedgroup.com.

Name*
First Last
Email*
Phone*
Date of Birth*
MM slash DD slash YYYY
I would like to Opt Out of (you may choose more than one)*
- Telephone Appointment Reminders
- Text Appointment Reminders
- Email Appointment Reminders
Reason for your opting out of appointment reminders*

(Age 6 months and older)

Opt Out Form