Switch to Main Site
Practice Name

Integrated Physical Medicine

Primary Location
2499 East Joliet Highway
New Lenox, IL 60451
Phone: 815-717-8355
Fax: 815-717-8416

Office Hours

DayMorningAfternoon
Monday8:30 - 11:30am2:30 - 6:30pm
Tuesday2:30pm6:30pm
Wednesday8:30 - 11:30am2:30 - 6:30pm
Thursday2:30pm6:30pm
Friday8:30 - 11:30am2:30 - 5:30pm
SaturdayBy Appointment
SundayClosedClosed
Main Content

Integrated Physical Medicine 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.

Patient Intake Form

Patient Health Questionnaire

Massage Intake Form

Workman’s Comp Form

Automobile Accident Form

Patient Pain Assessment Forms

Back Pain - Upper and lower back pain

Back Pain (United Healthcare Policies) - United Healthcare requires its own unique forms

Neck Pain - Pain above the shoulders and below the head

Neck Pain (United Healthcare Policies) - United Healthcare requires its own unique forms 

Headache/Migraines - (HDI form)

Shoulder/Elbow/Wrist/Hand Pain - (DASH form)

Knee/Ankle Pain - (LEFS form)

Humana Insurance Policies - (PSFS Form)

Cigna (ASHLink) Policies - Initial Health Assessment form 

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Please tell us!



Download the Free AdobeReader®

Exclusive Offer

Questions? Click the button below and fill out the form. A physician will call you ASAP! Contact Us

Featured Services

Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonial

I have never met another person in the medical field that takes that much time with his patients and gives 100% each and every visit. I would not be where I am without your support.

- Amy W. / New Lenox, IL

Office Hours

New Lenox

DayMorningAfternoon
Monday8:30 - 11:30am2:30 - 6:30pm
Tuesday2:30pm6:30pm
Wednesday8:30 - 11:30am2:30 - 6:30pm
Thursday2:30pm6:30pm
Friday8:30 - 11:30am2:30 - 5:30pm
SaturdayBy Appointment
SundayClosedClosed

Joliet

Monday 8:30 - 11:30am 2:30 - 6:30pm
Tuesday 2:30pm 6:30pm
Wednesday 8:30 - 11:30am 2:30 - 6:30pm
Thursday 8:30 - 11:30am 2:30 - 6:30pm
Friday 8:30am 11:30am
Saturday By Appointment Only
Sunday Closed Closed

Roselle
DayMorningAfternoon
Monday8:30 - 11:30am2:30 - 6:30pm
Tuesday2:30pm6:30pm
Wednesday8:30 - 11:30am2:30 - 6:30pm
Thursday2:30pm6:30pm
Friday8:30 - 11:30am2:30 - 5:30pm
SaturdayBy Appointment
SundayClosedClosed

Contact

  • 815-717-8355
  • 2499 East Joliet Highway New Lenox, IL 60451
  • Get Directions
  • 224-655-6555
  • 211 East Irving Park RD Roselle, IL 60172
  • Get Directions
Community Content