Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.




Health History

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

 Download & Print Form



Auto Accident

If your health issue is the result of a car accident, we need some additional information.

 Download & Print Form



Work Injury

If your health issue is the effect of an injury at work, this information will help us help you.

Download & Print Form



Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.




Providing quality chiropractic care to Naperville, Oswego and Aurora families.
Dr. Ashley Dickerson and Dr. Jenna Cook
1995 Springbrook Square Drive, Unit 109, Naperville, IL | (630) 820-9500
83 Templeton Drive, Unit C, Oswego, IL | (630) 554-9991

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Dr. Cook Asks some important questions of interest to Naperville residents - Chiropractor Naperville Dr. Cook Asks...

What's the difference between sick care and health care?
Sick care is largely about relieving or suppressing symptoms. Health care is about improving performance. While sick care is about how you feel, health care is about how you function. Sick care is what you do to treat an obvious problem, and health care is what you do to avoid the problem and advance your well-being.
How do you know when you're healthy?
Ask most Naperville residents this simple question and you're likely to hear, "When you feel good" or "When you're at your proper weight for your height" or "When you have lots of energy and vitality." Great answers. But our chiropractic patients know that true health is when your body is working as it was designed. True health is how you function, not how you feel.