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(224) 858-5161

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  • Home
  • About Us
    • Who We Are
    • Staff
  • Services
    • Normatec Compression Therapy
    • Physical Therapy
    • Scar Release Therapy Program
    • Sports Rehabilitation
    • Vestibular Therapy
    • > > > More Services
  • What We Treat
    • Back Pain & Sciatica
    • Chronic Pain
    • Elbow, Wrist & Hand Pain
    • Foot & Ankle Pain
    • Headaches
    • Hip & Knee Pain
    • Pre-Post Surgical
    • Shoulder Pain
    • > > > More Conditions
  • Patient Resources
    • Patient Intake Form
    • What To Expect
    • Insurance
    • Blog
  • Testimonials
  • Contact Us

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Patient Intake Form

Make an Appointment

New patients will need to complete a few forms prior to their initial appointment.

Please download and complete the following forms.

Patient Intake Form
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Speak With A Board Certified Specialist Today

Is your pain making it difficult for you to concentrate?

Are you hoping it will just go away but it’s still hurting you?

If you answered “Yes” to any of those questions, you should call us and make an appointment to see one of our qualified Physical Therapists. We will interview you, find out your problem, lay out the customized plan for you and work with you personally.

Call our office now at (224) 858-5161 or request an appointment:

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Carpentersville

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2152 Randall Road, Carpentersville, IL 60110

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maxicareptil@maxicaretherapy.com

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(224) 858-5161

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847-515-4149

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