Personal and Family Health History Form: Please print out and fill in the Personal and Family Health History, and bring it with you.
Chiropractic Medical History Form: Please print out and fill in the Medical History Form online, and bring it with you.
Naturopath Consultation Form
Before your first appointment the Naturopath Consultation Form is to be completed and received in our office 24 hours prior to your consultation. You can use one of these methods:
Fax the form to our office: 312.926.6285
Mail the form to our office:
Northwestern Medicine Osher Center for Integrative Medicine
150 East Huron St., suite 1100
Chicago, IL 60611
Dietitian Consultation Form: Before your first appointment with our dietitian, please fill out the Nutrition Therapy Introductory Questionnaire and then bring it with you.