New Patient Paperwork

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

  • Intake & Compliant Form

    Click to Complete

  • Consent To Treat

    Click to Complete

  • Demographic Form

    Click to Complete

  • HIPPA Form

    Click to Complete

Lombard Location

  • Intake Form

    Click to Complete

  • Consent To Treat

    Click to Download

Patients First.

OUR LOCATIONS:

Schaumburg

(847) 490-9090
Location Details

Lombard

(630) 261-0001
Location Details
Chiropractic Lombard IL BrightLife Clinic