Contact Us

Contact Us

Premier Chiropractic Center, Ltd.
Phone 847-543-1055
419 Center Street, Suite B
Grayslake, IL 60030

Office Hours
Mon: 6am-Noon & 2pm-7pm
T, W, Th, F: 6am-Noon & 2pm-5pm

Chiropractic services:
walk-ins welcome!

Massage therapy, please call to schedule. Same and next day appointments available. 847-543-1055

New Patient Process and Forms

Streamlining the Patient Process
To simplify the new patient intake process, we are pleased to be able to link the patient information documents below to make it easier for you to provide us with important information. These are the forms you would be asked to complete in the office at the time of your first appointment. Now, you can simply click on the forms, print them from your own computer and fill out the requested information in the privacy of your own home. Please bring the completed documents when you come for your first visit.

New Patient Documents & Forms
» New Patient Information/HIPPA (pdf download)
» Patient Workman’s Comp/History (pdf download)
» Personal Injury Questionnaire (pdf download)

Insurance and Health Plans
Blue Cross & Blue Shield

Most insurance or healthcare plans are accepted. If we are not in your plan, out-of-network benefits may apply. Please call us and we can review the options with you.