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Practice Name

Caraotta Chiropractic Orthopedics

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Primary Location
4921 E. State St.
Rockford, IL 61108
Phone: 815-398-4004
Fax: 815-398-4005

Office Hours

DayOpenClosed
Monday8:00am6:30pm
Tuesday8:00am8:00pm
Wednesday9:00am6:30pm
Thursday8:00am6:00pm
Friday8:00am6:30pm
Saturday8:00am12:00pm
SundayClosedClosed
Main Content

Caraotta Chiropractic Orthopedics offers New Patient forms so you can complete these in the convenience of your home or office, before arriving at our Chiropractic-Orthopedic Clinic.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. Please indicate any questions, goals and health concerns that we can help you with?

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



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New Patient Special

Sign-up and print coupon for a FREE Consultation & Orthopedic / Neurological Examination!

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Dr. Jacob Caraotta, Dr Lance Myers and Dr. Nicholas Micka are Board certified Chiropractic Physicians practicing Chiropractic Care,     Non-surgical Orthopedic Care     & Sports Medicine!

All of the Doctors are trained in Advanced Muscular Rehabilitation, and treat every muscle, bone and joint throughout the body!

Rockford Chiropractors and Orthopedic Physicians paving the way to health. Located across from Rockford University.  

Metagenics Savings

Our doctors have been the TEAM PHYSICIANS for the Rush for over a decade! CLICK to view the Rush Website.

                   CERTIFIED AUTHOR & CONTRIBUTOR               CLICK to view  MSM Website.

 

Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Online Forms

Get prepared early. Our new patient paperwork is also available online for completion in the convenience of your own home or office.
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Schedule Now

We will do our best to accommodate your busy schedule. Schedule an appointment today!

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Contact

Caraotta Chiropractic Orthopedics
4921 E. State St.
Rockford, IL 61108
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  • Phone: 815-398-4004
  • Fax: 815-398-4005
  • Email Us
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Office Hours

DayOpenClosed
Monday8:00am6:30pm
Tuesday8:00am8:00pm
Wednesday9:00am6:30pm
Thursday8:00am6:00pm
Friday8:00am6:30pm
Saturday8:00am12:00pm
SundayClosedClosed
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