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. Save the document to your desktop before and after completing. Email this document prior to your appointment to yorkville@twwclinics.com so that our doctors can review your health history prior to your appointment.


Step 2: 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 - 11:00am
3:00pm - 6:00pm


Tuesday
3:00pm - 6:00pm


Wednesday
8:30am - 11:00am
3:00pm - 6:00pm


Thursday
3:00pm - 6:00pm


Friday
8:30am - 11:00am


Saturday
Closed

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