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815-733-5282

Natural Chiropractic Healing offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

    Chiropractic Intake Forms

- Patient History -

- Clinic Policies -

- Informed Consent -

- What To Expect -

- Insurance Policies -


Colonic Intake Forms

- Patient History -

- Clinic Policies -

- General Health Questionnaire -


Download the Free AdobeReader®

Sign up using the form below or call us at 815-733-5282.

Office Hours

DayOpenClosed
Monday9:00am2:00pm
Tuesday2:00pm6:00pm
Wednesday9:00am2:00pm
Thursday2:00pm6:00pm
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Day Open Closed
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am 2:00pm 9:00am 2:00pm Closed Closed Closed
2:00pm 6:00pm 2:00pm 6:00pm Closed Closed Closed

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