New Patient Arrival Forms
Learn More About Becoming a Patient at CTCA: Chat with Us | Email Us
We are pleased that you have chosen Cancer Treatment Centers of America at Midwestern Regional Medical Center to be part of your journey of healing and hope.
The First Connections team has developed a program to provide exceptional service to you, our guests, in the most efficient and personal manner that provides one-on-one assistance. While we understand that some paperwork is necessary to begin treatment, our goal is to expedite this process prior to your visit. Our team provides a service that allows you to complete the majority of your paperwork in the comfort of your own home.
Please click on the link(s) below to retrieve your documents. An explanation sheet has been included with the documents should you have any questions regarding its purpose. If you would like to speak to someone directly, please feel free to contact us at 847-872-6997 for assistance.









