Send Food & Gifts
Send Email
Celebrate an Event
Request a Salon Appointment
Make a Dining Reservation
Contact Billing Office
Order Books and Magazines
Contact our Care Plan Team
Host a Catered Party
Your Name
Your Email Address
Resident’s Name
Resident’s Facility
—Please choose an option—Belleville Four FountainsBelleville Willowcreek Rehab and NursingBentonChampaignEnergyGreenvilleOlneyWest Frankfort-Frankfort HealthcareYorkville-Hillside Rehab and Care
Your Message
Type of Event
Date & Time of Event
Number of Guests
Your requests, such as food items, beverages, music, etc.
Your Email
Preferred Date & Time
Salon Services
CutColorPermanentShaveManicurePedicureOther
Additional Comments
Meal Time
BreakfastLunchDinner
Date of Reservation
Time of Reservation
Comments/Special Requests
Your Billing Question
Your Care Plan Comment
Type of Party (e.g., birthday, anniversary)
Date of Party
Time of Party