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Practice Name

Itasca Health and Chiropractic

Primary Location
1131 N. Prospect Ave.
Itasca, IL 60143
Phone: 630-250-9200
Fax: 630-250-9201

Office Hours

DayHoursOr By Appointment
Monday9:00am - 12:30pm2:30pm - 6:30pm
Tuesday11:30am - 6:00pm
Wednesday09:00am - 12:30pm2:30pm - 6:30pm
Thursday10:00am - 1:00pm3:00pm - 6:00pm
Friday9:30am - 12:30pm2:30pm - 6:00pm
SaturdayBy Appt
SundayCLOSED
Main Content

Itasca Health and Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or 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.

New Patient Health History Form - Required

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

Print Welcome Form

Print Health Profile

Print Pain Chart

Print Quadruple VAS

Print Low Back Pain Questionnaire

Print Neck Pain Questionnaire 

Print DASH Form (arm-shoulder-hand)

Print Knee Questionnaire

Print Shoulder Questionnaire

Print Lower Extremity Functional Scale

HIPPA Privacy Practices


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Greens First Phytonutrient & Antioxidant

Greens First® is the delicious, fast and easy way for the entire family to enjoy the phytonutrient and antioxidant benefits of a diet rich in dark greens and brightly colored fruits and vegetables in one, easy-to-use product. Join the Greens First Revolution to maximize your health and overall well-being!*

Click to order

Greens First® contains Certified Organic fruits, vegetables and barley grass which are first juiced, then spray dried at low temperatures, leaving all the important nutrients and live enzymes intact.

* These statements have not been evaluated by the Food & Drug Administration. The product mentioned is not intended to diagnose, treat, cure or prevent any disease.

Testimonial

He [Dr. Riggio] keeps our family moving. As active as we are, he manages to make sure we are at our best when it really counts."

Rudolph Julian-

Itasca, IL

Request Appointment

We will do our best to accommodate your busy schedule. Request an appointment today!

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Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Contact

Itasca Health and Chiropractic
1131 N. Prospect Ave.
Itasca, IL 60143
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Office Hours

DayHoursOr By Appointment
Monday9:00am - 12:30pm2:30pm - 6:30pm
Tuesday11:30am - 6:00pm
Wednesday09:00am - 12:30pm2:30pm - 6:30pm
Thursday10:00am - 1:00pm3:00pm - 6:00pm
Friday9:30am - 12:30pm2:30pm - 6:00pm
SaturdayBy Appt
SundayCLOSED
Newsletter

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Community Content
Member Wellness