Online Forms

The Chiropractic Connection 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!

Download & Print Form


Download the Free Adobe Reader®

Location and Hours

1S443 Summit Ave #304b, Oakbrook Terrace, IL 60181

Monday  

9:00 am - 6:00 pm

Tuesday  

Closed

Wednesday  

9:00 am - 6:00 pm

Thursday  

Closed

Friday  

9:00 am - 6:00 pm

Saturday  

9:00 am - 2:00 pm

Sunday  

Closed

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Dr. Vy Hoang performs the Ring Dinger® technique in Illinois and treats patients from across the United States and internationally.

Call today to schedule an appointment!

1S443 Summit Ave #304b,
Oakbrook Terrace, IL 60181