Online Paperwork

We offer our paperwork online so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


New Patient Registration and Case History

This lets us know what’s happened, but perhaps more important, where you want to take your health!

 Download & Print Form


Financial Policy

This form contains our financial policy; it's our way of being up front with you...

 Download & Print Form


Consent for Use and Disclosure of Health Information

While you're under our care, we will gather information about you; this form dictates how we may use this information.

 Download & Print Form


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

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Dr. Christine  Asks some important questions of interest to Peotone residents - Chiropractor Peotone Dr. Christine Asks...

How do you "catch" a cold?
Simply lower your resistance by avoiding the proper rest and exercise, eating lots of sugar and junk food, putting up with emotional stress and neglecting your nervous system by avoiding your chiropractor. You won't have to catch a cold because it will catch you!
How do most people deal with subluxations?
First, they try to ignore them. When they don't, they go to the medicine cabinet to stop their brain from feeling the symptom. Later, back surgery may be threatened. Sadly, it's not until this later stage that they consult our Peotone chiropractic office. Yet, even with the delay, most are delighted by the results produced by today's chiropractic care. Contact us and let's get started.