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Contact Us

Bolingbrook Christian Health Center
151 Briarcliff Road
Bolingbrook, IL 60440

Phone: 630-783-2832
Fax: 630-783-2837


Volunteers come from:

  • Bible Baptist Church of Romeoville
  • Blanchard Road Alliance Church
  • Calvary Church of Naperville
  • Casa de Oracion para las Naciones
  • Chicago Tabernacle
  • Chinese Christian Union of Highland Park
  • Church of St. Benedict of Bolingbrook
  • College Church of Wheaton
  • Communidad Cristiana de Plainfield
  • Harvest Bible Chapel of Glen Ellen
  • Harvest Bible Chapel of Naperville
  • Living Water Assembly
  • Living Water Evangelical Church
  • New Convenant church in Naperville
  • New Song Church
  • Notre Dame de Chicago
  • Palos Park Presbyterian Community Church
  • Restoration Community Church
  • St. Dominick’s Church of Bolingbrook
  • St. Elizabeth Seton of Naperville
  • St. Francis of Assisi of Bolingbrook
  • St. John’s Church of Joliet
  • St. Mary of the Woods Catholic Church
  • St. Mary of the Woods Faith Community in Chicago
  • The Salvation Army
  • The Sanctuary
  • ¬†Truth Lutheran Church of Naperville
  • West Alliance Living Water
  • West Brook Christian Church
  • Willow Creek of Wheaton


New Patient Forms

Please download each of the new patient forms and fill them in preparation for your first visit.

English Spanish
New Patient Information
Medical History
Privacy Practice Information
New Patient Information
Medica Historia
Privacy Practices Information
Privacy Practices Signature

Please fill out the Patient Update form should your information change.

English Spanish
Patient Update Patient Update