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Preferred Hours:
Monday 10:00am-1:00pm
3:30pm-6:30pm
Tuesday 1:00pm-5:30pm
Wednesday 10:00am-1:00pm
3:30pm-6:30pm
Thursday closed
Friday 10:00am-1:00pm
3:30pm-6:30pm
Saturday By Appointment Only
new patient forms

Below are various forms for new patients. Click each one to view and print out.

patient application    patient history 1    systems review patient history 2   

All forms require Adobe Acrobat to view. Click the button below to download a free reader.

We accept cash, check, MC/Visa, Discover and most insurance. We also offer affordable financing.

visa    master card    discover

Access Your Optimum Health and Wellness
Access Chiropractic Center
537 W. Wise Rd.
Schaumburg, IL 60193
ph. (847) 584-0532 * fax (847) 584-0537