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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
"http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">

 
	



 
	

























<meta name="description" content="">
<meta name="keywords" content=",">
<link href="default.css" rel="stylesheet" type="text/css" />

   <title>Information for New Patients - Provena Saint Joseph Hospital</title>

<style type="text/css">
	@import url(default.css);
</style>


            <script language="JavaScript" type="text/javascript">
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						// 0) html image name 1) mo image src 2)image Name for rollover key (rollover may have multiple mos for one html Image) 
							var arg = BillzImagePreload.arguments;
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									aryMoImages[imageKey].ptrImage = BillzNavBarMM_findObj(img_name);
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						var NavBarTempOnload = null;
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						function FullyLoaded() {
							if (NavBarTempOnload != null){
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							runMouseOvers = true;
							return true;
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						function BillzMouseOutTimer() {
							return nbMouseOutTimer();
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                  {
							if (TimerID) {
								clearTimeout(TimerID);
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							TimerID = setTimeout("nbLayerRestore()",5000);
							return true;
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						function RestoreAll() {
							nbMouseoverRestore();
							nbLayerRestore();
							return true;
						}
                  
						function BillzMouseoverRestore() {
							return nbMouseoverRestore();
						}
                  function nbMouseoverRestore() 
                  {
							var i = 0;
							var o = null;
							if (runMouseOvers) 
                     {
								for (i = 0; i < imageList.length; i++) 
                        {
									if (aryMoImages[imageList[i]].Moused && (o = aryMoImages[imageList[i]].ptrImage)) 
                           {
										o.src = aryMoImages[imageList[i]].OriginalSrc;
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									}
								}
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							return true;
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						function BillzLayerRestore() {
							return nbLayerRestore();
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                  {
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								pushIt = (varNewElement != aryArray[i]);
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								BillzArrayPush(aryArray, varNewElement);
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							return pushIt;
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							return true;
						}
						function BillzArrayPop(aryArray) { //Implement Array Pop 'cause IE cant handle it before 5.5
							var varItemToPop = null;
							if (aryArray[aryArray.length - 1]) {
								varItemToPop = aryArray[aryArray.length - 1];
								aryArray[aryArray.length] = null;
							}
							return varItemToPop;
						}
			                 
                  //v3.0 name changed to avoid clash with possible other JS in content, this function complements of MM Dreamweaver
						function BillzNavBarMM_findObj(n, d) {
						  	var p,i,x;
						
							if (registeredObjects[n]) {
								return registeredObjects[n];
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								d = document;
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						  	for (i=0; !x && d.layers && i < d.layers.length; i++) {
								if (d.layers[i].id.indexOf("external_") == -1) {
						  			x = BillzNavBarMM_findObj(n, d.layers[i].document);
								}
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							registeredObjects[n] = x;
						
						 	return x;
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						function BillzArrayContains() {
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							var foundit = false;
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								foundit = (arg[1] == arg[0][i]);
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						function NavBarRegisterLayer() {
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							var d = arg[1];
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							if (!(BillzArrayContains(aryLayerNames, n))) {
								if (o = BillzNavBarMM_findObj(n)) {
									aryNavBarLayers[n] = o;
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							return true;
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						function BillzNavBarMM_showHideLayers() {
						//v3.0 name changed, this function complements of MM Dreamweaver with customizations by Bill Heller
							var i = 0;
							var x = "";
							var obj = null;
							var v = null;
							var p = null;
							var args = BillzNavBarMM_showHideLayers.arguments;

							if (args[args.length - 1] != "menu") {
								nbMouseOutTimer();
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								if (!aryNavBarLayers[args[i]]) {
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							return true;
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						function BillzNavBarRestoreLayers() {
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									obj.visibility = v;
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						function NavBarLayer() {
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							this.defaultVisibility = arg[1];
							this.isDefault = true;
							this.MOutLayer = arg[2];
							return true;
						}
						function BillzNavMove() {
							return nbNavMove();
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                  {
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							var otherl = null;
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                     {
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									thisl = thisl.style;
									viz = "hidden";
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                     {
								otherl = BillzNavBarMM_findObj("BillzLayer");
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							} else {
								setTimeout("nbNavMove()", nbTime);
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							return true;
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						function NavBar_openadmin() {
							window.open('admin/', 'SiteAdmin', 'height=screen.availheight,width=screen.availwidth,scrollbars=1,toolbar=0,directories=0,status=0,menubar=0,resizable=1');
							return true;
						}
						window.onload = FullyLoaded;
					//-->
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				</head>



	
	<body style="background-color:#75ACD5;">
	<div align="center">
	<table align="center" width="768">
		<tr>
			<td background="images/bkg_leftgradient.jpg" width="8"></td>
			<td valign="top" align="left" style="background-color:#fff;">
				
				
					
				
				<table style="border-bottom:10pt solid #FFFFFF;">
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						<td align="left" valign="top">
							<a href="homepage.cfm?id=1&amp;oTopId=0">
							
								
									<img src="images/logos/logo_saintjoseph.jpg" border="0" alt="" />
								
							
							</a>
						</td>
						<td background="images/bkg_top.jpg" width="552" height="85" style="background-repeat:repeat-x;" align="right">
						
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									<td background="images/bkg_search.jpg" width="209" height="72" style="padding-right: 15px; background-repeat: no-repeat;">
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											<td class="search" style="padding-left:10px;">&nbsp;</td>
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<style name="text/css" class="search">		
td.search {background-color: transparent; background-image: URL(images/clear.gif); font-family: Helvetica; font-weight: 
700; font-size: 8pt; color: 666666; }
				
	</style>

		<table border="0" cellpadding="0" cellspacing="0" background="" align= "top" class="search">		
		<form action="body.cfm?id=152" method="POST">		
		<input type="hidden" name="action" value="list">	
		<input type="hidden" name="search_areas_id" value="">	
		<input type="hidden" name="includewhat" value="">
			
			<tr class="search">							
				
					<td class="search" style="padding-left: 10px; ">Search</td>
				
				
					<td class="search"><input type="text" name="keywords" size="15" style="color: #3300FF; " value="Search Intranet"></td>
							
				
					<td class="search"><input type="IMAGE" src="images/go_button.gif" border="0" width="32" height="24" style="border: 0px; "></td>
				
			</tr>
		</form>
			<tr class="search"><td class="search" colspan="3" align="right">
				<a href="body.cfm?id=152">Advanced Search...</a>
			</td></tr>
		</table>
	 


									</td>
								</tr>
							</table>
						</td>
					</tr>
				</table>
				
				<table>
					<tr>
						<td align="left" valign="top">
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			<p>Welcome to Dr. Ali's practice.&nbsp; To save time and for your convenience, please print and complete the forms to the left and bring with you to your first appointment along with your identification and insurance card.&nbsp;</p>
<p>Thank you!</p>
		
	
 

			
			
			
			
			
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	<div class="footer">77 N. Airlite Street, Elgin, IL - 60123 Telephone: (847)-695-3200</div>
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