O'Hara Family Chiropractic in Arlington Heights offers our patient form(s) online so they can be completed it in the convenience of your own home or 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.

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

United Health Care New Supplemental Forms

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Patient Summary Form Download & Print

HUMANA Supplemental Forms

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Informed Consent Form -Required

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O'Hara Family Chiropractic 940 South Arthur Ave Arlington Heights, 60005 847-577-3597

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New clients receive a free consultation


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