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Online Forms

Allied Health Group 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 for Chiropractic Patients

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

DRX9000 Application for Admission

- Required for DRX9000 Non-Spinal Decompression Candidates

Download & Print Form

Download the Free AdobeReader®
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5:00pm
Sat Closed
Closed
Sun Closed Closed

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Contact

Allied Health Group
1603 Visa Drive
Bloomington-Normal, IL 61761
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  • Phone: 309-268-9000
  • Fax: 309-268-9003
  • Email Us

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