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Online Forms

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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Office Hours

Our Regular Schedule

Monday:

9:00 a.m.

7:00 p.m.

Tuesday:

9:00 a.m.

7:00 p.m.

Wednesday:

9:00 a.m.

7:00 p.m.

Thursday:

9:00 a.m.

7:00 p.m.

Friday:

8:30 a.m.

11:30 a.m.

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Locations

Find us on the map