New Patient Paperwork

Momentum Health Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Chiropractic Patient Form

    Click to Download

  • New Acupuncture Patient Form

    Click to Download

  • Pregnancy Intake Form

    Click to Download

OFFICE HOURS

Monday
8:30am - 12:00pm
3:30pm - 6:30pm


Tuesday
3:00pm - 6:30pm


Wednesday
8:30am - 12:00pm
3:30pm - 6:30pm


Thursday
3:00pm - 6:30pm


Friday
8:30am - 11:00am


Saturday & Sunday
Closed

Monday
12:00pm - 7:20pm


Tuesday
Closed


Wednesday
12:00pm - 7:20pm


Thursday
Closed


Friday
9:00am - 3:00pm


Saturday
Closed


Sunday
Closed

Momentum Health Center

45 S Dunton Ave
Arlington Heights, IL 60005

(847) 368-1122