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

OFFICE HOURS

Monday
9:00am - 6:00pm

Tuesday
9:00am - 6:00pm

Wednesday
9:00am - 7:00pm

Thursday
9:00am - 6:00pm

Friday
9:00am - 12:00pm

Saturday
9:00am - 12:00pm

Sunday
Closed

BrightLife Schaumburg

44 W Schaumburg Rd
Schaumburg, IL 60194

(847) 490-9090