New Patient Paperwork
Chiropractic Touch offers our patient form(s) online so they can be completed it 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.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Form #1 - Click Here to Download
New Patient Form #2 - Click Here to Download
Auto Accident Form - Click Here to Download
Work Injury Form - Click Here to Download
Functional Rating Index - Click Here to Download
Infertility Questionnaire - Click Here to Download
Allergy Forms
Allergy Questionnaire - Click Here to Download
Allergy History - Click Here to Download
Planning Your Allergy Session - Click Here to Download
Explanation On How The Bax3000 Works - Click Here to Download
OFFICE HOURS |
Monday | 8:30am - 6:00pm |
Tuesday | Closed |
Wednesday | 8:30am - 6:00pm |
Thursday | Closed |
Friday | 8:30am - 6:00pm |
Saturday | By Appointment |
Sunday | Closed |

Chiropractic Touch
2560 Foxfield Road
St Charles, IL 60174
(630) 584-8729
