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Patient Center

Welcome!  On this page you can find information and forms to make your experience and treatment at both of our offices easier.

We use the Adobe Acrobat portable document format (.PDF) for your forms.  If you don’t have  Acrobat Reader, you can download it for free from Adobe’s website. Click here to download the free Adobe Reader.


 Accident FormsIf your pain is a result of an accident, either on the job or during your personal time, please include this accidental injury report form. (17.4K .PDF)

Headache Log Having trouble with recurring headaches? Download this headache log (81K .PDF) and use it to keep track of your headaches. Knowing how often your headaches occur. and what you think causes them (stress, foods, activity, allergies, etc.), will help us treat your pain more effectively.  If migraines are an issue, you may want to read Dr. Patel’s article about migraine prevention.

Permanent link to this article: http://apmt.us/patient-center/

New Patient Online Registration

Welcome to our office.  For your convenience, click the following link to complete your paperwork online before your initial visit.  This link will redirect you to a new site.   If you have any questions  please feel free to call our offices, Advanced Physical Medicine & Therapy(847)394-3042 or West Dundee Physical Medicine (847)844-7900. New Patient Forms At …

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Notice of Privacy Practices (HIPAA)

Effective November 16, 2010 Our offices comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) This notice describes how health information about you may be used and disclosed, and how you can get access to this information. Please review it carefully. The privacy of your health information is important to us. Get …

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FAQs

Ask Us… You may not think of visiting a chiropractor to treat your headaches, ankle pain, or numbness in your fingers or toes. Because your spine feeds the nerve system of the rest of your body, many of your health problems are treatable through chiropractic methods. Remember, these answers are general information, and may not …

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