New Patient Paperwork

BrightLife Clinic - Lombard offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • One option of forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Intake Form

    Click to Download

  • Online New Patient Intake Form

    Click to Complete

OFFICE HOURS


Monday
9:00am - 6:00pm


Tuesday
2:00pm - 6:00pm


Wednesday
9:00am - 6:00pm


Thursday
2:00pm - 6:00pm


Friday
9:00am - 1:00pm


Saturday & Sunday
Closed

BrightLife Clinic - Lombard

442 E Roosevelt Rd
Lombard, IL 60148

(630) 261-0001