New Patient Paperwork

We've made it easy for you to fill out paperwork. Simply download the appropriate intake form, print off, fill out and bring it in with you to your first visit. Questions? Call us at (815) 223-0647 and we will be happy to help.

Adult Intake Form
Child Intake Form
Office Hours

Monday           9am - 12pm, 2 - 6pm

Tuesday          2 - 6pm

Wednesday     9am - 12pm, 2 - 6pm

Thursday         By Appointment

Friday              9am - 12pm, 2 - 6pm

Saturday         By Appointment

Sunday            Closed

New Patient?

Where to Find us >>

Download our


forms here

Every Family Should Have a Chiropractor on Their Health Care Team!

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Gergovich Family Chiropractic

130 3rd Street

LaSalle, IL 61301

(815) 223-0647


© 2021. Gergovich Family Chiropractic

Walk-ins Welcome!