New Patient Paperwork

BrightLife Clinic offers our patient forms online so they can be completed in the convenience of your own home or office.


  • Intake & Compliant Form

    Click to Complete

  • Consent To Treat

    Click to Complete

  • Demographic Form

    Click to Complete

  • HIPPA Form

    Click to Complete


Lombard Location

  • Intake Form

    Click to Complete

  • Consent To Treat

    Click to Download

Patients First.

OUR LOCATIONS:

Schaumburg

Lombard

Chiropractic Lombard IL BrightLife Clinic