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
Did you know that there are many benefits to getting chiropractic care while being pregnant? It is completely safe for both mom and baby to undergo treatment during pregnancy! We are certified in both Webster Technique and Perinatal Care at our practice. Call to schedule a free consultation today!
Acupuncture Thursday! How small are the needles that we use? Take a look and see for yourself! We offer a free first session for any established patient looking to try acupuncture! Make an appointment today 🥰
We’re accepting appointments today
I’ve dealt with lower back pain for many years. After having 2 kids in 2 years it became too much and I went to a back pain doctor who put me through 5 weeks of physical therapy. Unfortunately that didn’t work and was very frustrating because I really worked hard at it, stopped running and would do the daily recommended exercises and stretches. My wonderful neighbor recommended I come here and within my first appointment I left feeling much better! Im excited for me new health journey with Van Ness Chiropractic!
I’ve been to many chiropractors for upper back and neck issues and Van Ness Chiropractic is the best! Dr. Jeff and Dr. Rani are amazing! I went in with terrible pain and they had me feeling better in no time. The office is very relaxing and everyone is so friendly and kind. Scheduling is always easy, even when I need care last minute, they alway make time for me! I always look forward to all my visits with the team!
After rounds and rounds at many other chiropractors with no success, I was referred to Van Ness Chiro! The doctors listen to your concerns and address them accordingly. I have been an avid patient for almost a year and every adjustment has been different! This speaks volumes as they truly adjust what is necessary versus the “basic” for everyone. I have also thoroughly enjoyed the additional services that are offered such as electro therapy (included with you adjustment), acupuncture, cupping and massage! The office staff is also very understanding and accommodating! 100% recommend!
Dr. Jeff Parkin & Dr. Rani Sabri are amazing! This is my first chiropractic experience & I would recommend Van Ness Chiropractic to anyone. The atmosphere in the office is completely relaxing. I look forward to each visit. I've also tried the acupuncture sessions and truly love them. Leaving each session, I feel relaxed, renewed & rejuvenated!
Van Ness Chiropractic is a place that cares for its’ patients like they are family. I’ve had many freak accidents and have called them first for help. Each provider wants to help you be at your best, and it’s rare these days to feel cared for after leaving the doctor. So grateful for them!
I love Van Ness Chiropractic! The staff is friendly, knowledgeable and accommodating! Dr VanNess has does wonders for my pain. I have worked as a CA and his technique is very effective compared to previous chiropractors I’ve worked with and have been treated by. I would highly recommend making an appt. You will not regret it.
I have been to many chiropractors before for low back issues. Van Ness Chiropractic is the best I have experienced. Dr. Van Ness is very knowledgeable, professional has kept me moving without pain. Everyone in the practice is friendly and caring. I appreciate that they offer alternative remedies, such as dry needling to alleviate sports injuries. Thank you Dr. Rani! I highly recommend the practice.
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!
