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Practice Name

Back Home Chiropractic

Primary Location
2451 N Lincoln Ave Ste 205
Chicago, IL 60614
Phone: (773) 394-4622

Office Hours

DayMorningAfternoon
MondayClosed1:00 – 6:00
Tuesday6:30 – 10:30Closed
Wednesday9:00 – 10:303:00 – 6:00
Thursday6:30 – 10:30Closed
FridayClosedClosed
Saturday8:00-noonClosed
SundayClosedClosed
Main Content

Back Home Chiropractic 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.

Adult 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


Child (Infant) New Patient Health History Form - Required

Download & Print Form


Child (School-Aged) New Patient Health History Form - Required

Download & Print Form


Pregnancy Health History Form - Required

Download & Print Form

Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

View Services

Testimonials

Dr Bridget is great! Seeing her for my 2nd pregnacy to make some more room for a growing baby and its been a great help! Highly recommend her to new moms!

- Erin A-H. / Chicago, IL

Office Hours

DayMorningAfternoon
MondayClosed1:00 – 6:00
Tuesday6:30 – 10:30Closed
Wednesday9:00 – 10:303:00 – 6:00
Thursday6:30 – 10:30Closed
FridayClosedClosed
Saturday8:00-noonClosed
SundayClosedClosed

Request An Appointment

(773) 394-4622

Contact

Back Home Chiropractic
2451 N Lincoln Ave Ste 205
Chicago, IL 60614
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