New Patient Forms

Want to save 20 minutes on your first visit?

Congratulations, you are taking the first step towards becoming a healthier you! When you fill out this health history, you will quickly see that it is different than any other. This form will start with your birth and childhood, leading up to your current health. This health history will help us uncover all the injuries to your spine. As a chiropractor, I am interested in how your spine and nervous system function. I am especially interested in your injuries because they can interfere with spinal nerves, weaken the spine, and either be a direct cause or contributing factor to the health problems that you are experiencing.

Please fill out the forms the best you can and bring them with you to your first appointment. If you have any questions, please call our office at 815-538-2182.

We are grateful for the opportunity to help you with your health care needs. Welcome to our family practice.

In health,
Dr. Cindy

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