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Sports & Spine Chiropractc offers our patient forms 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 forms to 815-464-7192 or bring them with you to your appointment.  


Online New Patient Intake

Please clink on the link below and fill out the New Patient Intake Form.  Click "Submit" at the end of the form.

New Patient Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


 Patient Policy

Download & Print Form


Pediatric Request Form (ages 8 and under)

Download & Print Form


Personal Injury Request

Download & Print Form


Worker's Compensation Request

Download & Print Form


Ideal Protein Health Questionnaire 

Download & Print Form

Sign up using the form or call us at 815-464-7113!

THIS ---->https://sportsandspinerehab.chiromatrixbase.com/new-patient-center/online-forms.html

Office Hours

Day
Monday8-113-6
Tuesday2-7:30
Wednesday8-113-6
Thursday2-7:30
Friday8-112-5
Saturday9-11
Sundayclosedclosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8-11 8-11 8-11 9-11 closed
3-6 2-7:30 3-6 2-7:30 2-5 closed

These chiropractors are great! After having the same chiro doc for 28 years I was a little wary of finding a new one. The doctors are so compassionate, caring and gave the best adjustment EVER! Even had techniques to help lessen my vertigo.The office staff is so helpful and friendly. Dr. Wolfe, Dr. Katzmann, and Dr. Yurkovich go above and beyond to help their patients. So glad I found this place!

KariLynn B.
Frankfort, IL