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...

What's the difference between chiropractic and medicine?
Medical treatment focuses on the disease or the symptom. Chiropractic focuses on the person with the disease or the symptom. Medical treatment usually involves changing blood chemistry. Chiropractic involves restoring nervous system integrity. Medical doctors prescribe medicine. Chiropractors adjust the spine—a common source of nervous system interference.
What causes subluxations?
Chiropractors acknowledge three types of stress: physical, chemical and emotional. When the adaptive capacity of your body is compromised, weakened areas along the spine can become involved. Muscles tighten, spinal joints lock up and nearby nerves are affected. The purpose of chiropractic care is to find these areas and restore balance, alignment and motion.