1381 C North 7th Street

Rochelle, IL 61068 US

815-562-6661

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Online Forms

Salinas Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form  


Download the Free AdobeReader®

Sign up using the form or call 815-562-6661 to make your appointment.

Office Hours

Our Regular Schedule

Monday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Wednesday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

By Appt

By Appt

Saturday:

By Appt

Closed

Sunday:

Closed

Closed

Location

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Testimonials

Reviews By Our Satisfied Patients

  • "Testimonials coming soon."

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