Johnson Family Chiropractic of Peoria, IL
  • home
  • services
    • activator methods
    • webster technique
    • spinal decompression
    • consultations
    • other therapies
  • conditions
    • headaches >
      • migraines
    • neck pain >
      • jaw pain
      • pinched nerve
      • torticollis
      • upper crossed syndrome
      • whiplash >
        • car accident
    • arm pain >
      • shoulder pain
      • elbow pain
      • wrist & hand pain
    • back pain >
      • low back pain
      • mid back pain
      • disc problems >
        • degenerative disc disease
        • disc herniation
      • scoliosis
    • hip pain >
      • piriformis syndrome
    • leg pain >
      • sciatica
      • knee pain
      • foot & ankle pain >
        • plantar fasciitis
        • sprained ankle
    • women's health >
      • back pain during pregnancy
      • fibromyalgia
    • children's health >
      • ear infections
      • chronic strep throat
      • congenital torticollis
    • other conditions >
      • asthma
      • high blood pressure
  • what to expect
    • what is chiropractic?
    • insurance
    • no insurance?
    • download forms
    • for medical doctors
    • links
  • hours
  • find us
    • locate us
    • contact us
  • about us
    • meet the doctor
    • FAQ
    • patient testimonials

Download Forms

You can save a considerable amount of time in our office by completing some necessary information in the comfort of your own home. Johnson Family Chiropractic of Peoria, IL, provides several intake forms here for your convenience. Please ask us which documents are needed for your next visit.

Note: these forms are in Adobe Acrobat PDF format. If you are unable to view the forms, please click here to download the latest version of Acrobat Reader.
Your Case History
File Size: 52 kb
File Type: pdf
Download File

Auto Accident History
File Size: 119 kb
File Type: pdf
Download File

Below is our privacy policy, courtesy of www.ChiroCode.com. One of our health care office's privacy requirements is to post this notice of privacy practices in the office lobby and on the practice web site.
Privacy Notice to Patients, Page 1
File Size: 1979 kb
File Type: pdf
Download File

Privacy Notice to Patients, Page 2
File Size: 1942 kb
File Type: pdf
Download File

Activator Methods  |  Webster Technique  |  Testimonials  |  Meet Dr. Johnson  |  Contact Us  |  ©2025 Johnson Family Chiropractic of Peoria, S.C.
3227 N. Prospect Rd.
Peoria, IL  61603
(309) 688-8773

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  • home
  • services
    • activator methods
    • webster technique
    • spinal decompression
    • consultations
    • other therapies
  • conditions
    • headaches >
      • migraines
    • neck pain >
      • jaw pain
      • pinched nerve
      • torticollis
      • upper crossed syndrome
      • whiplash >
        • car accident
    • arm pain >
      • shoulder pain
      • elbow pain
      • wrist & hand pain
    • back pain >
      • low back pain
      • mid back pain
      • disc problems >
        • degenerative disc disease
        • disc herniation
      • scoliosis
    • hip pain >
      • piriformis syndrome
    • leg pain >
      • sciatica
      • knee pain
      • foot & ankle pain >
        • plantar fasciitis
        • sprained ankle
    • women's health >
      • back pain during pregnancy
      • fibromyalgia
    • children's health >
      • ear infections
      • chronic strep throat
      • congenital torticollis
    • other conditions >
      • asthma
      • high blood pressure
  • what to expect
    • what is chiropractic?
    • insurance
    • no insurance?
    • download forms
    • for medical doctors
    • links
  • hours
  • find us
    • locate us
    • contact us
  • about us
    • meet the doctor
    • FAQ
    • patient testimonials