7207 W. College Dr.

Palos Heights, IL 60463 US

(708) 361-8800

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Online Forms


Platinum 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 

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Sign up using the form or call 708-361-8800 to make your appointment.

Monday:

Closed

Tuesday:

9:00 am-7:00 pm

Wednesday:

9:00 am-7:00 pm

Thursday:

9:00 am-7:00 pm

Friday:

By Appointment

Saturday:

9:00 am-1:00 pm

Sunday:

Closed

Location

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Testimonial

Reviews By Our Satisfied Patients

  • "A hip injury brought me to Dr. Rory. He worked wonders on me. Everytime I went in I couldn't walk or sit without it hurting. After I saw Dr. Rory I felt like a million bucks!!! I Highly recommend him to all my friends!!!"
    Sherri V. Palos Heights, IL

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