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Concept Care Chiropractic and Wellness offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Contact Us

Contact Us Now!

THIS ---->https://well-adjusted.com/online-forms.html

Downers Grove Location

Monday 9 - 1 3 - 7
Tuesday Closed 3 - 7
Wednesday 9 - 1 3 - 7
Thursday Closed 3 - 7
Friday 9 - 1 Closed
Saturday 8:30 12
Sunday Closed Closed

Chicago Location

Monday Closed Closed
Tuesday 9 7
Wednesday Closed Closed
Thursday 9 - 12 Closed
Friday Closed Closed
Saturday Closed Closed
Sunday Closed Closed

Testimonials

Excellent! Dr. Dan Kirk has helped me more than any of the MDs I had been in contact with since I got injured at work. I have actual relief without drugs! Ana and Colleen, the massage therapists, are the BEST at working out muscles that need extra work. I highly recommend!

- Nancy J / Downers Grove, IL

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