Patient Forms


Clicking on the links below will download a form to your computer as a PDF file.

    • Please print and fill out “Patient Information.”
    • Please sign the “Chiropractic Informed Consent to Treat.”
    • We recommend you read the “Notice of Privacy Practices at AltCare Health Center” regarding your rights to privacy.


Use of the patient forms will require you have Adobe Reader on your computer. If you do not, please go here to download and install the proper version for your computer. If you have any questions about the use of this form, please call our office staff at 708-848-9900.

Download Patient Case History
Download Chiropractic Informed Consent to Treat
Download Notice of Privacy Practices as AltCare Health Center