Online Forms
Zimmerman Chiropractic Clinic PC offers our patient form(s) online so they can be completed 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 Health History Form - Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
LOCATIONS
Primary Location
Address
7 E. Main Street
DuQuoin, IL 62832
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