New Patient Forms

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

Things To Note

  • To help you prepare for your appointment, please take a few minutes to complete the following necessary forms. And if you'd prefer not to do so in advance, plan ahead and give yourself an extra 15-minute window prior to your scheduled visit.

Patient Intake Form
Personal Injury Patient

Things To Note

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.

  • Download the necessary forms from the list below that pertain to your visit, print them out and fill in the required information.

  • Bring them with you on your first appointment.

Cash & Health Insurance Patients
Personal Injury Patient
Medicare
Workers’ Comp Patients

Patients Love Naperville Rehab!

  • Dr. Tony and his staff are amazing. My daughter suffered with migraines on and off for years. They eventually became so severe that she could not attend school consistently. I’m thrilled to say that she is finally doing better after receiving treatment from Naperville Rehab Clinic. I feel like they have given us our lives back. I would recommend Naperville Rehab Clinic to anyone!

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Dina S.

Google Review

  • I cannot say enough good things about Naperville Rehab Clinic. Their approach is personable & caring. They have helped me, physically, with my daily movement in providing adjustments, exercises that are do- able for my age (over 60) and up to date health information in the form of ongoing seminars. They not only care what is done in the clinic but,also, outside of it.

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Maria D.

Yelp Review

1750 N. Washington Street, Suite 112C, Naperville, IL 60563

and

25 Alexander Cir #1
Romeoville, IL 60446


FREE Consultations for NEW Patients!


Visit one of our locations

1750 N. Washington Street, Suite 112C,

Naperville, IL 60563

25 Alexander Circle, Suite 1

Romeoville, IL 60446

Patients Love Naperville Rehab!

  • Dr. Tony and his staff are amazing. My daughter suffered with migraines on and off for years. They eventually became so severe that she could not attend school consistently. I’m thrilled to say that she is finally doing better after receiving treatment from Naperville Rehab Clinic. I feel like they have given us our lives back. I would recommend Naperville Rehab Clinic to anyone!

Image

Dina S.

Google Review

  • I cannot say enough good things about Naperville Rehab Clinic. Their approach is personable & caring. They have helped me, physically, with my daily movement in providing adjustments, exercises that are do- able for my age (over 60) and up to date health information in the form of ongoing seminars. They not only care what is done in the clinic but,also, outside of it.

Image

Maria D.

Yelp Review

Naperville Rehab Clinic

1750 N. Washington Street, Suite 112C

FREE Consultations for NEW Patients!

1750 N Washington St Unit 112C, Naperville, IL 60563, USA
1750 N Washington St Unit 112C, Naperville, IL 60563, USA
25 Alexander Cir Suites 1 & 2, Romeoville, IL 60446, USA

Now Accepting New Patients: (630) 883-0355

Naperville Rehab Clinic

  • 1750 N. Washington Street, Suite 112C
    Naperville, IL 60563

  • 25 Alexander Circle, Suite 1
    Romeoville, IL 60446

  • (630) 961-1888

Resources

  • Illinois Chiropractic Society

  • American Chiropractic Association

  • National University of Health Sciences

  • Naperville Area Chamber of Commerce

  • Naperville Patch

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