Complaint Forms
Welcome!
Thank you for choosing our office. We are honored to be part of your healthcare journey.
The information you provide today will help us better understand your health history, current concerns, and goals so we can deliver the best possible care. Please complete each section as thoroughly and accurately as possible. If you are unsure about a question, simply do your best, and we can discuss it during your visit.
If you have any questions or need assistance, please contact our office, and a team member will be happy to help.
We look forward to meeting you and helping you achieve your health goals!
Monday
8:00am - 7:00pm
Tuesday
7:30am - 7:00pm
Wednesday
7:30am - 7:00pm
Thursday
8:00am - 7:00pm
Friday
7:30am - 5:30pm
Saturday
8:00am - 1:00pm
Sunday
Closed
Accepting Same Day Appointments
Total Balance Chiropractic
3464 N Lincoln Ave
Chicago, IL 60657