Please print and fill out this document before the first appointment to give our doctors a general idea of patient history.




"Within a month of coming to LC I experienced less headaches and have been able to do more in the gym without pain. I am amazed with how I am feeling!"

Faith T.

"Dr. Radcliffe and his team have changed my life forever. Their compassion, knowledge, and dedication to their patients should be practiced by all physicians."

Nicki C.

"From Dr. Radcliffe and Dr. Ausra I have learned how to be a healthier and happier individual. I honestly feel better than I have in 10 years and can now walk a mile with no pain!"

Michelle M.

(815) 838-9441

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