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

Weight History

If you are interested in weight loss, you will also need to tell us about your weight history.

 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

Authorization for Release

You'll also need to sign a Consent To Treat form.

 Download & Print Form

Notice of Privacy Practices

 Download & Print Form

Website Enrollment Form

If you'd like to become a member of our website, so you can gain access to information and areas of the website not everyone has access to!

 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.

Dr. Christine Hoch
117 W Main St, Peotone, Illinois | (708) 258-9600