Fox Valley Care Clinic offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

 

New Patient Health History Form - Required

 

This let's us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Informed Consent for Examination and Treatment Form - Required

Download & Print Form


 

Office Financial Policy Form - Required

Download & Print Form

 


 

Privacy Policy Acknowledgement - Required

Download & Print Form

 



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Contact

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Fox Valley Care Clinic
2677 Rt 34 Suite C
Oswego, IL 60543
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  • Phone: 630-551-0000
  • Fax: 630-551-1510
  • Email Us

Office Hours

Day
Monday9:00 a.m.7:00 p.m.
Tuesday9:00 a.m.7:00 p.m.
Wednesday9:00 a.m.7:00 p.m.
Thursday9:00 a.m.7:00 p.m.
Friday8:00 a.m.11:30 a.m.
SaturdayClosedClosed
SundayClosedClosed

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