New Patients
Welcome New Patients!!
We understand that arriving at a chiropractic office for the first time can be nerve racking. If you’ve never experienced chiropractic care before, you may not know what to expect when you come to our Peoria chiropractic office for the first time. Filling out paperwork, learning new faces, and getting to know your way around the office can be an overwhelming experience.
That’s why at the Holistic Health Center of Peoria our aim is to remove any unnecessary stress or tension and make you feel comfortable during your visit with our chiropractor.
In this area of the website, you will be able to take care of the items necessary for your chiropractic visit prior to arriving, in the comfort of your own home. If you have any questions at any time, please don’t hesitate to contact our Peoria chiropractic office at (309) 685-5777!
New Patient Center
Online Forms

New Patient Health History Form – Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know! Please fill it out, download and email or print.
What to expect
Payment Options
If you are interested in filling out a financial assistance form, please click here.
Pre-Check Your Insurance
Coverage varies from policy to policy; therefore, please complete the form below so that we may contact your insurance provider to obtain the details of your exact coverage. All information submitted via the website is confidential. Policies vary widely and it is important to fully understand the following when researching coverage:
ALL FIELDS REQUIRED