RUSSEAU|

Team
HealthCare
Ltd.

Providing evidence-based chiropractic and rehabilitative medicine.

 

New Patient Information:

We recommend completing your paperwork prior to your first visit, in order to maximize efficiency and expedite the amount of time spent in the office.

You may complete your paperwork in the comfort of your home:


Simply access one of the links below and download/print out the appropriate paperwork. Fully and accurately complete the paperwork at home and bring it with you to your first visit. Please use INK, not pencil to complete your paperwork.

Online Forms

First Chiropractic Visit? Click Here for paperwork.

Is your current condition the result of a RECENT car accident? Click Here for paperwork.

First Visit For Acupuncture? Click Here for paperwork.

Click Here to read our Privacy Policy (HIPPA).

No Printer?
•Call the office at least 4 days prior to your appointment and we will mail the paperwork to you.

Files Require Adobe Acrobat Reader to Open. This is a free program.

What to bring to your first appointment.

  • All related medical records, including diagnostic reports (X-rays, MRI, etc.)
  • A valid insurance card and photo id.
  • A list of current prescriptions and/or over-the-counter
    medications you are taking.
  • If appropriate and required, bring the referral from your referring physician.

 Click Here for location and directions.


 



 

Russeau Team HealthCare, Ltd. | 311 Naperville Rd Suite-C | Wheaton, IL 60187 | (630)-690-4040

Copyright 2012 Russeau Team HealthCare, Ltd. All Rights Reserved.