Forms and Surveys
 
 

The New Patient Form

If you are suffering from any of the symptoms mentioned in the stress survey, or think you have a condition chiropractic care can help, contact us at (630) 830-8600. Our doctors are always ready to talk to you about whatever health condition you may be dealing with. For your convenience we have included our New Patient Form that gives us detailed information about your past medical history as well as your current complaint(s). Our new on-line patient intake form can allow you to fill out the necessary paperwork at home so you can minimize your wait to see the doctor.

The Stress Survey

Are you under Stress? Would you agree that stress causes health problems? There are three main causes of stress:

  • Emotional (family, friends, work, financial)
  • Physical (job related, house work, physical injury)
  • Chemical (toxins we take in, foods we eat, environmental hazards)

All of these causes of stress can have a direct effect on your health. Some of the most commons signs / symptoms that you dismiss everyday may be directly related to stress, and are holding you back from enjoying your life with your family and friends. Take the simple Stress Survey to find out if you are under stress!