New Patient
Momentum Health Center offers our patient forms online so you can complete them in the convenience of your own home or office.
These forms let us know the history and current state of your health.
You should download them and print them out for your first visit.
New Patient Form
Acupuncture Form
Pregnancy Chiropractic Form
Most major health providers accepted
Contact us with your questions and comments
Momentum Health Center
45 S. Dunton Ave.
Arlington Heights, IL 60005
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(847) 637-5242
mhcarlingtonheights@gmail.com