Woodruff chiropractic medicine
minimize pain, maximize health
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Scott C. Woodruff D.C., DACNB
Chiropractic Physician
Board Certified Chiropractic Neurologist
815-744-5066

WOODRUFF CHIROPRACTIC MEDICINE (815) 744-5066

New Patient Forms

We offer our new patient intake form online so that you may complete it at your convenience.

If you do not already have AdobeReader® installed on your computer
click here.

You may bring your form with you to your first appointment or fax it to
815-744-5086.


New Patient Health History Form

This informs us of the details regarding your current health, as well as your health history, so that we can better help you.


Download & Print Form: New Patient Form










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