Online Forms

Zimmerman Chiropractic Clinic PC 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 Exam Form




LOCATIONS

Primary Location
Address
7 E. Main Street
DuQuoin, IL 62832
Contact Information
Fax: 618-542-9276
Email: info@doczs.com

Chiro Office Hours

Monday
07:00 am - 07:00 pm
07:00 am - 12:00 pm
Tuesday
Wednesday
07:00 am - 07:00 pm
Thursday
07:00 am - 12:00 pm
Friday
07:00 am - 05:00 pm
Weekend
Closed

Chiro Office Hours

Monday
07:00 am - 07:00 pm
Tuesday
07:00 am - 12:00 pm
Wednesday
07:00 am - 07:00 pm
Thursday
07:00 am - 12:00 pm
Friday
07:00 am - 05:00 pm
Weekend
Closed