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

(773) 348-6908