Patient Paperwork

Complete and Bring to the Office to Save Time on Your First Visit

New Patient Forms

We offer our patient forms online so they can be completed in the convenience of your own home or office.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • All new patients fill out: payment policy, consent for treatment, HIPAA and new patient info.
New Patient Intake Form
HIPPA Consent Form
Consent for Treatment Form
Payment Policy
Start Back Screening Tool
Low Back: Revised Oswestry Index
Neck/Upper Back: Neck Disability Index
Arm/Shoulder/Hand: QuickDASH-9
Hip/Knee/Ankle/Foot: Lower Extremity Functional Scale

Contact McAndrews Chiropractic Clinic

Wheaton Chamber of Commerce
ACA Member Wheaton

Office Hours

Mon: 8am – 1:30pm
Tues: 8am – 11am and 2pm – 6pm
Wed: 2pm – 8pm
Thurs: 8am – 10am and 2pm – 7pm
Fri: 8am – 11am and 2pm – 5pm
Sat: Closed
Sun: Closed

McAndrews Chiropractic Clinic

1275 Butterfield Rd Suite 110
Wheaton, IL 60189
(630) 510-0080

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