Southern Illinois Chiropractic Center
Barry T. DeLassus, D.C.

(618) 288-7991

 
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Online Forms

To simplify the process of beginning care with a new doctor, we've provided our initial forms online so you can print and complete them from the comfort of your own home.  Also, completing your forms ahead of time will save you time in the office.

1.  Adult Patient Intake Form  OR  Child Intake Form (if age 13 or under)

2.  Financial Policy Form

3.  Patient Goals and Expectations Form

These forms are in .PDF format so a download of the latest Adobe reader which can be downloaded by following the link below.


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