Information for new patients

First Visit

We know that visiting  a doctor for the first time can be a little nerve-wracking so in an effort to streamline your initial visit here we provide the ability to fill your information out before you arrive in our office! This saves you time and also allows Dr. Chris to review your info before you come in. If you would like an appointment please call us at 815-623-8000 or fill out an appointment request on our home page and we will be happy to help you find a time to come in. Please set aside at least a half an hour for your first visit.

Click the link below to print our health history form. Please fill the form out and bring it with you on your first visit. 

Online Forms


Dr. Chris will speak with you about any past injuries, accidents and any current pain you are experiencing. He will take a quick look at your back, neck and any other areas that might be necessary and determine whether an x-ray is needed for him to proceed.



Here at Roscoe Chiropractic we use state of the art technology called Video fluoroscopy or simply a Moving X-ray.  If you want to see an example of this, check out our video through the Moving x-ray link.


Dr. Chris believes that gentle adjustments will result in progressive changes to your problem areas so you won't experience any twisting or painful pulling.  Under most circumstances adjustments will not hurt. You might experience a minor amount of discomfort during the adjustment which lasts only seconds. Our gentle, specific approach ensures that movement will be restored your spine and interference to your nervous system will be corrected so your body can function better and you can experience a higher level of health and well being.