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L  Humberstone DC
Professional Services
   
 


First-time Patients can download, fill out, and fax/email back these forms.


Patient Chiropractic information form


Informed consent for Chiropractic treatment   

Receipt notice of privacy policy from the Bloomingdale Chiropractor



You can send scanned copies of these forms back to us through MyDocsOnline.com
or you can send us your completed documents using secure faxing  (630)529-0137 
or you can bring them in with you.

The faxes that come into our office come from a secure facility which encrypts the data and sends it to our office. Then it needs to be unencrypted by our staff. They are HIPPA compliant. In this way we can ensure your privacy. They do not lay around in the fax machine which is unattended and they are secure an encrypted.