Health History Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.

Chiropractic Intake Form

This lets us know what’s happened, but perhaps more important, where do you want to take your health?
 Download & Print Form

Naturopathic Intake Forms

If you will be seeing us for naturopathic care, please complete one of these two forms.
 Adult: Download & Print Form    Minor: Download & Print Form

Barne's Thyroid Tempature Test

If we ask you to complete a Barne's Thyroid Tempature Test, you can use this simple form to keep track of your results.
  Download & Print Form

Five-Day Diet Diary

In certain cases, we may want to understand your overall health better and we may ask you to keep track of what you eat and when. This form will help you organize that information.
  Download & Print Form

Workers' Compensation Intake Form

If you will be seeking care because of an accident at work, please complete this form.
 Download & Print Form

Auto Accident Intake Form

If you have been in a motor vehicle accident recently, please complete this form.
 Download & Print Form

Personal Injury Intake Form

If you may be filing a personal injury claim, please use this form.
 Download & Print Form

Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

Call now to schedule an appointment!

Dr. Jonathan Truhlar, 1900 Ogden Ave, Ste 202, Aurora, IL | (630) 499-9420