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Practice Name

Capitol Chiropractic Health Center

Primary Location
3631 S. 6th St. Suite B
Springfield, IL 62703
Phone: 217-391-5446
Fax: 217-585-6720

Office Hours

DayMorningAfternoon
Monday8:00 - 12:002:00 - 5:30
Tuesday8:00 - 12:002:00 - 4:30
Wednesday8:00 - 12:002:00 - 5:30
Thursday8:00 - 12:002:00 - 4:30
Friday8:00 - 12:002:00 - 5:30
Saturday8:30 - 12:00Closed
SundayClosedClosed
Main Content

Capitol Chiropractic Health Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • 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 Intake Form
Established Patient Intake Form
Authorization Form
Privacy Notice Form



Optional
Personal Injury Questionnaire
Workmans Compensation Form



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Featured Services

Services We strive to provide complete care for our patients. Learn more about all the services we provide. Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Office Hours

DayMorningAfternoon
Monday8:00 - 12:002:00 - 5:30
Tuesday8:00 - 12:002:00 - 4:30
Wednesday8:00 - 12:002:00 - 5:30
Thursday8:00 - 12:002:00 - 4:30
Friday8:00 - 12:002:00 - 5:30
Saturday8:30 - 12:00Closed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00 - 12:00 8:00 - 12:00 8:00 - 12:00 8:00 - 12:00 8:00 - 12:00 8:30 - 12:00 Closed
2:00 - 5:30 2:00 - 4:30 2:00 - 5:30 2:00 - 4:30 2:00 - 5:30 Closed Closed

Contact

  • 3631 S. 6th St. Suite B Springfield, IL 62703
  • 217-391-5446
  • Get Directions
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