New Patient Paperwork

Life Purpose Chiropractic: Rick Brescia, DC offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

Monday
8:30am - 11:00am
2:30pm - 5:30pm


Tuesday
2:30pm - 5:30pm


Wednesday
10:00am - 11:00am
2:30pm - 5:00pm


Thursday
8:30am - 11:00am
2:30pm - 5:00pm


Friday
Closed


Saturday
Closed

Life Purpose Chiropractic:
Rick Brescia, DC

16626 West 159th Street #700
Lockport, IL 60441
(773) 842-9092