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Vitality Health Center 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.

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New Patient
Health History Form


(Required)

Save precious time on your first visit.
Fill out our patient health history form at your convenience before arriving at our clinic and simply bring it with you (You may, of course, choose to fill out the form on site instead).

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  Health History Form


  

    

Member Wellness Registration Form (Optional)

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or click here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Sign up using the form below to make an appointment.

THIS ---->https://vitality-healthcenter.chiromatrixbase.com/new-patient-center/online-forms.html

OFFICE HOURS

SUN MON TUE WED THU FRI SAT
CHICAGO X 9a-7p 2p-7p 9a-7p 9a-7p 9a-1p X
NORTH NAPERVILLE X X 2p-7p 9a-7p 9a-7p 9a-4p 9a-2p
SOUTH NAPERVILLE X 9a-7p 9a-2p 9a-7p X 9a-7p X
JOLIET X 9a-2p 9a-7p 9a-2p 9a-7p X 9a-2p

TESTIMONIALS

After a battery of tests suggested by my doctors, I was misdiagnosed & still in pain. Decided to go to the homeopathic way & called Dr. Kapoor of Vitality Health Center on a Saturday.  They were actually closing @ 2pm but when I mentioned how much I was in he offered to stay in the office & wait for me!  I arrived within 15 min of our call & he listened & understood what I needed.  Finally, after 4 weeks of suffering, I found some relief!  Dr. Renee was wonderful too!

Camelia S.
Naperville, IL

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