Patient Portal
The Patient Portal is your resource for making payments, finding forms, and requesting appointments. If you don't see what you are looking for, or have any questions, click the Chat button in the lower right corner and we can help.
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NEW PATIENT HISTORY/CONSENT FORM - (For Non-Blue Cross New Patients)
To be filled out by new patients before their first visit. No need to print forms, simply click on the link, fill out on your phone, tablet or computer, and forms are electronically sent to our private mailbox.
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To be filled out by new Zerona patients before their first laser session. No need to print forms, simply click on the link, fill out on your phone, tablet or computer, and forms are electronically sent to our private mailbox.
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Send an Email (MyHomeTownChiro@gmail.com) or click the Chat button in the lower right corner to request an appointment, or schedule on our FACEBOOK PAGE.
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PAYMENT FOR SERVICES - Full payment is due at the time of service. HomeTown Health & Wellness accepts Cash, Checks, Blue Cross Blue Shield PPO, Credit Cards, Debit Cards, HSA & FSA Debit Cards, and Care Credit.
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BUY A GIFT CERTIFICATE - Purchase a HomeTown Gift Certificate at our Online Store and it will be sent to you by email the same day or can be picked up in our Arlington Heights office.
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MAKE A PAYMENT, PRE-PAY AN APPOINTMENT, PURCHASE A SERVICE FOR YOURSELF OR SOMEONE ELSE - Making a secure payment to HomeTown is simple. Let us know what you'd like to purchase and a payment link will be sent to you by email or text message. *Reminder that all card transactions have a 3% transaction fee (except Membership Fees). Pay for services or gift certificates at our Online Store.