If you need a more accessible version of this website, click this button on the right. Switch to Accessible Site

WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

Online Forms

Complete Wellness & Integrated Health Center, LTD 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.

  • 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.

Health History Age: 13 and up

Download & Print Form


Pediatric Health History Age: 0-12

Download & Print Form


Personal Injury History

Download & Print Form


Smoking Cessation

Download & Print Form


Privacy Policy

Download & Print Form


Vaccine Exemption Letter and Immunization Exemption



Download the Free AdobeReader®

Exclusive Offer

Sign up now for a free consultation!

THIS ---->https://cwihc.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday6:30am - 12:00pm2:00pm - 5:00pm
TuesdayClosed12:00 pm - 6:00 pm
Wednesday6:30am - 12:00pmClosed
Thursday6:30am - 12:00pm2:00pm - 5:00pm
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
6:30am - 12:00pm Closed 6:30am - 12:00pm 6:30am - 12:00pm Closed Closed Closed
2:00pm - 5:00pm 12:00 pm - 6:00 pm Closed 2:00pm - 5:00pm Closed Closed Closed

Testimonials

My family receives excellent care at Clinton Chiropractic Center. All of the staff is very friendly and we are always seen in a timely manner. We appreciate the doctors individualized care and feel blessed to have such an incredible practice in our community.

Andrea G.
Clinton, IL

Newsletter Sign Up