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Practice Name

Perkins Chiropractic

Primary Location
1354 E. Kingsley Street
Springfield, MO 65804
Phone: 417-885-1200
Fax: 417-885-1202

Office Hours

Day
Monday9:00 - 1:002:30 - 6:00
Tuesday9:00 - 1:002:30 - 6:00
Wednesday9:00 - 1:002:30 - 6:00
Thursday9:00 - 1:002:30 - 6:00
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Main Content

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

We believe that chiropractic can benefit everyone who takes advantage of this alternative health care.  On your first visit please allow about 10 extra minutes to fill out your medical history and relevant paperwork.  Your total visit time should be less than an hour depending on your condition.  Most patients are finished with their initial visit in about 45 minutes. 

The following are forms that are available for new patients.  Filling these forms out will save you time during your first visit.  All forms are in Adobe PDF format.  The Adobe Reader software is available by clicking on the "Get Adobe Reader" picture on the bottom of your screen.

Please click on one of the following documents.  If you need assistance please do not hesitate to call our office at (417) 885-1200.

  • 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!

New Patient Form

Auto Accident Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Featured Services

Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

3D Spine Simulator


Launch 3D Spine Simulator

Office Hours

Day
Monday9:00 - 1:002:30 - 6:00
Tuesday9:00 - 1:002:30 - 6:00
Wednesday9:00 - 1:002:30 - 6:00
Thursday9:00 - 1:002:30 - 6:00
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00 - 1:00 9:00 - 1:00 9:00 - 1:00 9:00 - 1:00 Closed Closed Closed
2:30 - 6:00 2:30 - 6:00 2:30 - 6:00 2:30 - 6:00 Closed Closed Closed

Contact

  • 1354 E. Kingsley Street Springfield, MO 65804
  • 417-885-1200
  • Get Directions
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