New Patient Forms
Although Pflug Family Chiropractic, Inc. strives to minimize the burden for patients, some paper work is unavoidable. However, you should find all the necessary forms conveniently located on this page.
New Patient Intake
What
A basic questionnaire covering medical history, reason(s) for visit, and contact information.
When
Download, complete, and bring with you on your first visit to Pflug Family Chiropractic, Inc. – the time you save can then be used for evaluation and treatment!
Chiropractic Care & Evaluation
What
A standard informed consent form for general chiropractic care and evaluation.
When
Just like the New Patient Intake Form: download, complete, and bring to your first visit.
Dry Needling, Cupping, Scraping & Physiotherapy
What
An informed consent form covering alternative therapies offered at Pflug Family Chiropractic, Inc.
When
As needed. Dr. Pflug will let you know!
CONTACT DR. PFLUG:
4600 Alex Blvd., Springfield, IL 62711
217-502-0706 (call or text to schedule)
ian.pflug@icloud.com
Hours of Operation:
Monday - Friday: 9am - 6pm
Saturday: 9am - 12pm
Sunday: Closed
By appointment only.
© 2022 Pflug Family Chiropractic, Inc.