New Patient Forms

Nucare offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

OFFICE HOURS


Monday
9:00am - 7:00pm


Tuesday
9:00am - 2:00pm


Wednesday
Closed


Thursday
9:00am - 7:00pm


Friday
Closed


Saturday
9:00am - 2:00pm

Nucare
3330 Dundee Road Suite C-8
Northbrook, IL 60062
(847) 480-1718

"Dr. Bloom is exceptional! After a Nucca adjustment the pain in my low back disappears and I feel straighter more balanced! It’s still amazing to me how the atlas adjustment helps my entire body!" 
- Cathy S., Evanston, IL

"Before seeing Dr. Bloom, it seems like I was always in pain. I’ve been seeing Dr. Bloom for about 2 months now and am extremely grateful for how much she has helped my neck and low back. I’m able to do the things I want to do and get away with it! I feel well again!" 
- Janet N., Long Grove, IL

"I had tennis elbow that would not go away. After only 3 Arpwave treatments the pain is gone and it hasn’t come back again. Remarkable! I recommend the Arpwave and Dr. Bloom to anyone!" 
- Daniel W., Chicago, IL