New Patient Paperwork

Exemplify Health Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.


Step 1: Complete the Health History Questionnaire. Email this document to yorkville@twwclinics.com


Step 2: Print out and complete the Signature pages. Bring these forms with you to the office for your first appointment.


Step 3: If you will be receiving both chiropractic and functional medicine guidance, please complete the functional assessment questionnaire before your appointment. This health review takes approximately 30 to 40 minutes to complete.

OFFICE HOURS


Monday
8:30am - 10:30am
3:30pm - 6:00pm


Tuesday
3:30pm - 6:00pm


Wednesday
8:30am - 10:30am
3:30pm - 6:00pm


Thursday
8:30am - 10:30am
3:30pm - 6:00pm


Friday
8:30am - 10:30am


Saturday
By Appointment

Exemplify Health Center
728 East Veterans Parkway #115
Yorkville, IL 60560
(630) 553-6149