New Patient Paperwork

Lake in the Hills Family Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All 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.

Adult Intake Form

Child Intake Form

MORNING, AFTERNOON & EVENING APPOINTMENTS ARE AVAILABLE

Monday
9:30am - 11:00am
3:00pm - 6:00pm


Tuesday
10:00am - 11:00am
3:00pm - 6:00pm


Wednesday
9:30am - 11:00am
3:00pm - 6:00pm


Thursday
9:30am - 11:00am
3:00pm - 6:00pm


Friday
10:00am - 12:00pm


Saturday
10:00am - 12:00pm
Call For An Appointment

Lake in the Hills Family Chiropractic
4614 West Algonquin Road Unit E
Lake in the Hills, IL 60156
(224) 333-0071