New Client Form

Welcome to our clinic!

We’re excited to see you!

Before your first visit, be sure to complete your New Client Form. You can complete the form online by scrolling down or you can download and print by clicking the button below. If you need immediate assistance, please call us at 847-683-9640.

Contact Us

Fax: 847-683-9642

2401 W Route 20
Pingree Grove, IL 60140

Hours

Mon - Tues: 8:00 AM – 7:00 PM
Wed - Fri: 8:00 AM – 6:00 PM
Sat: 8:00 AM – 2:00 PM
Sun: Closed