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New Patient Paperwork

Russell Health & Wellness Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

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

printerApplication for Treatment & Confidential Health History Form
Click Here to Download


printerPersonal Injury Information Form
Click Here to Download

OFFICE HOURS
Monday9:00am - 6:30pm
TuesdayClosed
Wednesday9:00am - 6:30pm
ThursdayClosed
Friday9:00am - 6:30pm
SaturdayClosed
SundayClosed

After Hours:
Forwarded to Dr. Russell's home for emergencies when the office is closed.

Chiropractic Elmhurst IL Office Russell Health & Wellness Center logo

Russell Health & Wellness Center
477 Spring Road
Elmhurst, IL 60126
(630) 530-0506

Recommended Chiropractor

WHAT OUR PATIENTS SAY

Recommended Chiropractor - White

477 Spring Road

Elmhurst, IL 60126