1. Patient Intake Form 2. Consent Form3. Application and Authorization for Treatment4. Low Backpain Disability Questionnaire5. Health History Record
The Agape Chiropractic Center
118 South Milwaukee Avenue
Lake Villa, IL 60046
Office Hours: Monday, Wednesday & Friday: 9am-12 Noon; 2pm-6pm
Thursday: 2pm-6pm
"Fixing The Cause Not Just the Pain"
1.Patient Intake Form 2. Consent Form3. Application and Authorization for Treatment4. Low Backpain Disability Questionnaire5. Health History Record
Branches and additional offices:
(847) 356-9696
118 S Milwaukee Ave Lake Villa, IL 60046
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- (309) 736-7188
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- (309) 343-0028