Online Forms

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

  • 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.

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!

Chiropractic Intake Forms

Ideal Protein Health Profile

Weight Loss Forms

Nutritional Counseling Intake Form



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Our Locations

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Office Hours

Park Ridge Office

Monday

Closed

Tuesday

8:30 am - 12:30 pm

2:30 pm - 6:00 pm

Wednesday

Closed

Thursday

Closed

Friday

Closed

Sat

10:00 am - 1:00 pm

Sunday

Closed

Park Ridge Office

Monday
Closed
Tuesday
8:30 am - 12:30 pm 2:30 pm - 6:00 pm
Wednesday
Closed
Thursday
Closed
Friday
Closed
Sat
10:00 am - 1:00 pm
Sunday
Closed