Chiropractic Patient Forms
New patients can save time during their first chiropractic appointment at Van Ness Chiropractic by completing the New Chiropractic Patient forms prior to their visit. Simply print out the applicable form below, fill in the information requested, and bring the completed form with you to your appointment. You’ll find forms for massage, pediatric, auto accident & work injury below. Please print and complete all forms that apply.
Forms
Massage Forms
Pediatric Forms (0-3 Years)
Auto Accident Forms
Work Injury Forms
Office Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
7:30AM - 5:45PM
9:00AM - 6:00PM
7:30AM - 5:45PM
7:45AM - 10:30AM
7:30AM - 12:00PM
CLOSED
CLOSED
* For emergency or after hour appointments, call or text Dr. Van Ness at 224-622-5836
Let us share our care with your friends and loved ones. Have them take advantage of our “Friends & Family Days.” Call to schedule an appointment today!!![]()
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#chiropractor #chiropractic #wellness #health #adjustment #chiropracticadjustment
As a reminder we will be CLOSED for Memorial Day and back in office Tuesday, May 30th with our regular hours. Have a safe and happy holiday weekend from all of us at Van Ness Chiropractic!
We’re accepting appointments today
LOVE THIS PLACE! Dr Van Ness is awesome. Really knows his stuff. Friendly and comfortable environment. Has been really helpful keeping my body healthy with working 2 physical jobs. Thank you Dr Van Ness. Also when it comes to acupunture, I would recommend Dr Rani. Thank you for your kindness. From the first day I felt very comfortable here so I appreciate you. And to the amazing and friendly staff Thank you for all that you guys do.. for all you do y
I can't say enough about Dr. Jason Van Ness and the team at Van Ness Chiropractic! When people ask if I know a good Chiropractor in town, without hesitation, I recommend Van Ness Chiropractic. Not only for "fixing" what's broken, but for wellness maintenance, too. I see people in the office ranging from babies to elderly, athletes of all kinds, people who travel far and wide and make time, when in town, to visit Dr. Van Ness. Van Ness Chiropractic offers a vainly of services and is not limited to Chiropractic care. Besides my regular Chiropractic visits, I have taken advantage of Acupuncture and Massage Therapy. My quality of life is enriched by regular visits to Dr. Jason Van Ness and his team!Stop by and meet the team...you'll be thankful you did.
Dr.Van Ness has built himself a great place for health. I’ve been seeing him since he did a residency with Dr.Cox, late 1990s. As a legacy patient he has always kept me straight. He even came in on a weekend to assist my wife with an issue. His place isn’t just straightening crooked people. He treats young athletes to the “ole guys” equally. His center of health has a variety of therapists to get you the proper care you want.
I have been nothing but happy and feeling great after 6 1/2 years of seeing Jason and Jeff! Thank you for being so positive and always available!Your office and staff are wonderful and so welcoming! Keep up the awesomeness and congratulations on the big 25!
I didn’t even know I had mild back problems until I came here. Very thorough and very friendly staff! I love the fact that it’s also a clean and safe place as they wipe surfaces often. Definitely recommend!
