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...

Could a chiropractor put an end to bedwetting?
If bladder control seems elusive, consider chiropractic. If spinal bones are interfering with nerves that control your child's bladder, plastic sheets, alarms and other methods simply add to the embarrassment. Peotone parents are often amazed (and relieved) that chiropractic can be so helpful. Learn more.
What can a chiropractor do for asthma?
Many people think of chiropractic as exclusively dealing with the spine. But I'm interested in the spine because it covers the nervous system. Problems in the spine can produce problems in the organs and tissues controlled by the affected nerves—including those to the lungs and bronchial tubes. Find out how chiropractic care has helped those with asthma.