Health History

These forms are necessary for us to help evaluate your current health status and more important, where do you want to take your health?


Patient Intake Forms

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

Adult Intake Form
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Child Intake Form
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Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.




Dr. Bill Buchar, Chiropractor

3015 E. New York Street #A11, Aurora, IL 60504 | (630) 820-1330

Dr. Libby Wiese and Dr. Jeremy Darnell

758 South 8th Street, West Dundee, IL 60118-2102 | (847) 836-5202

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Dr. Bill  Asks some important questions of interest to Aurora residents - Chiropractor Aurora Dr. Bill Asks...

Where do most Aurora residents get their first subluxation?
Being born in a hospital is a common source of subluxation. Trauma from forceps delivery has been replaced with drugs, vacuum extraction, Cesarean section and births that are "scheduled" to fit the workweek routines of Ob-Gyns. That's why we recommend a chiropractic checkup for every Aurora newborn.
What's a side effect?
It may sound like a bonus; something extra, but chiropractors know it should more accurately called an "unintended effect," and "unwanted effect" or in some cases an "adverse effect." A pill can't come close to matching your body's ability to create and deliver the essential compounds it needs. That's when it's important to make sure your nervous system is working correctly—the purpose of chiropractic care!