Wellness Center, Inc. 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) Fax # (773) 472-0429 or bring it with you to your appointment.
INTAKE PAPERWORK
Application For Treatment
Download & Print Form
24 Hours Cancellation Policy
Download & Print Form
Authorization for Release of Information
Download & Print Form
Nutrition
Confidential Patient History
Download & Print Form
Metabolic Assessment
Download & Print Form
CAAB-25
Download & Print Form
Patients Inactive for more than 12 months
Patient Update
Download & Print Form