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Chiropractic New Patient Registration

We are so happy to welcome new patients to our chiropractic offices.  For your convenience please complete the following form.  If you have any questions please feel free to call our office, Advanced Physical Medicine & Therapy (847)222-9060.


  • New Patient Form – Please complete this form about why you are coming to our office.

Your First Visit with Our Chiropractic Physicians

At your first appointment we will take a comprehensive health history; complete an examination of the primary complaint and establish the causes of the condition.  Appropriate diagnostic testing may include: X-Ray; MRI, Nerve Conduction studies and lab work.

At your second appointment, you will receive a customized treatment plan.  Periodic assessments and modifications to chiropractic treatment plans ensure continued improvement.  Length of treatment varies dependent upon the particular complaint and the severity of the presenting issues.  You are an integral to your treatment plan.  Your compliance to your treatment plan and therapies will have a significant impact on your improvement.

We look forward to working with you to help you improve your health!

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