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Swansea Chiropractic offers our patient form(s) online so you can complete it in the convenience of your own home or office.

Once you complete the form, simple click "Submit".  We will review your answers in preparation for your first visit. 


New Patient Intake Form (Adult)


New Patient Intake Form (Children 14 years and under)

THIS ---->https://drkomeshakcom.chiromatrixbase.com/patient-portal/new-patient-forms.html

Office Hours

Day
Monday9:00-12:002:00-6:00
Tuesday2:00-6:00
Wednesday9:00-12:002:00-6:00
Thursday2:00-6:00
Friday9:00-12:00
SaturdayBy Appt
Sunday
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00-12:00 9:00-12:00 9:00-12:00 By Appt
2:00-6:00 2:00-6:00 2:00-6:00 2:00-6:00

Testimonial

In all my years of going to various doctor's offices I have never seen a staff that is so up beat and professional. They all care about their patients. I know Dr. Komeshak is very proud of his staff.

Charlie K.
Swansea, IL

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