Online Forms

Arlington Chiropractic Clinic, P.C. offers our patient forms online, so that you can complete them in the convenience of your own home or office. Please fill out the forms and then either email them to [email protected] or fax to 847-259-2242 before your appointment.


New Patient Forms

Updated Examination Forms

Progress Evaluation Forms

Back Pain Questionnaire

Neck Pain Questionnaire

Upper Extremity Pain Questionnaire

Lower Extremity Pain Questionnaire

Nutrition Questionnaire

We offer ChiroHealthUSA discounts! Sign up for a ChiroHealthUSA program to receive discounts on many of your chiropractic expenses.

Get more information by using the form or call us at 847-259-4493. Take advantage of this exclusive offer today!

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Locations

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Office Hours

Our Regular Schedule

Monday:

8:30 am-6:00 pm

Tuesday:

8:30 am-6:00 pm

Wednesday:

8:30 am-6:00 pm

Thursday:

8:30 am-6:00 pm

Friday:

8:30 am-1:00 pm

Saturday:

8:00 am-12:00 pm

Sunday:

Closed