If you are a new patient to our office we will need some paperwork from you. In order to make your first visit with our office as easy as possible for you, we have put the paperwork here on the site so you can download it and fill it in at home. Please ensure you set aside enough time to complete the entire packet. There will also be a few minor forms to sign when you arrive at the office.
Please gather any IMAGING REPORTS (MRI / X-RAY / CT SCAN / Ultrasounds) and recent LAB WORK REPORTS (6-12 months) and either fax or present to the front desk staff for copying upon your arrival.
Our fax number is: 630-357-0204
New Patient (13 and older) comprehensive case(chronic or more involved cases)
New Patient (13 and older) – simplified case (acute problem such as recent back or neck pain)
Personal Injury Paperwork (complete if you’ve been in a motor vehicle accident)
Pediatric ADHD (12 and younger) intake forms
Metabolic Assessment Form (complete to repeat lab work or nutritional consultations)
NTAF Questionnaire (complete to repeat lab work or nutritional consultations)
Progress Update (complete this form just prior to each re-examination with Dr. Serpe).
Returning Patient health history update form
Thank You
We look forward to meeting you in the near future
If you are unable to download the paperwork you may need to download adobe reader
- Adobe Reader
