Welcome to
66 Chiropractic

New Patients

New patients to 66 Chiropractic will have some brief paperwork to fill out before getting started. All of the forms are available below to download and complete at your convenience prior to your first visit. Typically, your first visit will consist of a consultation in which we can discuss your health-related problems, concerns and history. This information, along with further information obtained from various tests will allow us to properly diagnose your issues and customize a treatment plan to help you reach whole body wellness. Feel free to contact us with further questions regarding your first visit.

Forms & Paperwork


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66 Chiropractic

2327 S Dirksen Pkwy

Springfield, IL 62703

To Schedule An Appointment

Call 217-544-3628