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BrightLife Chiropractic & Wellness
New Patients

Patient Intake Forms

Complete your intake paperwork before your first visit to save time. Choose whichever option is most convenient for you.

Online Intake Form

Printable Intake Form

Download, print, and bring the completed form to your appointment.

Download PDF

Having trouble? Call us at (630) 261-0001 and we'll have forms ready when you arrive.

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Ready to Schedule Your Visit?

Once you've completed your intake form, give us a call or book online to schedule your first appointment.

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