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Online Forms

Holistic Health Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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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Locations

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Office Hours

Our Regular Schedule

Monday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

Closed

Wednesday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

closed

2:00 pm-6:00 pm

Friday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Saturday:

By Appt.

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I have benefited tremendously from the chiropractic care I received from Dr. Lackner."
    John Doe - Peoria, IL
  • "Great chiropractic care by caring people. Friendly staff genuinely concerned about people and their needs. Essential oils available too. I do sincerely recommend the Holistic Health Center when you need chiropractic care or just need some essential oils."
    Jack L.