New Patient Center

Welcome to the AlignLife new patient center!

We understand that arriving at a doctor's office for the first time can be nerve racking. If you've never experienced chiropractic care before, you may not know what to expect when you come to our Peoria chiropractic office for the first time. Filling out paperwork, learning new faces and names, and getting to know your way around the office can be an overwhelming experience.

That's why at AlignLife our aim is to remove any unnecessary stress or tension and make you feel comfortable during your visit with our chiropractor.

In this area of the website, you will be able to take care of items necessary for your visit prior to arriving. If you have any questions at any time, please don't hesitate to contact our Peoria chiropractic office at 309-693-8448!


Regular New Patient
If you are not in the below categories, please download our standard new patient packet

Standard New Patient Form

New Patient: Pediatric (12 and Under)
For patients who are under the age of 12 use this patient packet.

New Pediatric Patient Form

New Patient: Workers Comp
If you are a new patient with a work related injury, please download this patient packet.

Workers Comp Packet

New Patient: Auto Accident
If your injury is due to an auto accident, please download this patient packet

Auto Accident Packet

Nutritional / Weight Loss

New Patient: Nutritional Consultation
For patients scheduled for a nutritional or weight loss consultation, please download the Health Appraisal packet.

Nutritional Consultation Packet

If your doctor has requested you complete a Comprehensive Health Appraisal:

Comprehensive Health Appraisal


New Patient: Massage
For those scheduled for a first time massage, please download the Massage Intake Forms.

Massage Intake Forms

Schedule Your Consultation Today


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Office Hours

Our Regular Schedule


9:00 am-1:00 pm

3:00 pm-5:30 pm


9:00 am-11:00 am

3:00 pm-5:30 pm


9:00 am-1:00 pm

3:00 pm-5:30 pm




9:00 am-1:00 pm

3:00 pm-5:30 pm


8:30 am-10:00 am