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Practice Name

Washington Chiropractic

Social Media
Primary Location
1295 Peoria Street
Washington, IL 61571
Phone: (309)444-5800
Fax: (309)444-5803

Office Hours

DayChiropracticMassage
Monday9am-6pm9am-6pm
Tuesday9am-5pm9am-6pm
Wednesday9am-6pm9am-6pm
ThursdayClosed9am-6pm
Friday9am-5pm9am-6pm
SaturdayClosedBy Appt
SundayClosedClosed
Main Content

Washington Chiropractic offers our patient form(s) online so you can complete 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 Health History Form - Required

This let's us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print 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®

Exclusive Offer

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Get your first visit FREE!

You can't afford to keep living with pain - and now you don't have to

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Featured Services

Featured Services

Payment Options See our complete listing of insurances accepted as well as other affordable payment options. Online Forms For your convenience, Washington Chiropractic offers our patient forms online so they can be completed prior to your appointment. Make An Appointment From Chiropractic services to massage therapy, we take great pride in accommodating your busy schedule. Request an appointment today!

Testimonial

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Office Hours

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Day Chiropractic Massage
Monday 9am-6pm 9am-6pm
Tuesday 9am-5pm 9am-6pm
Wednesday 9am-6pm 9am-6pm
Thursday Closed 9am-6pm
Friday 9am-5pm 9am-6pm
Saturday Closed By Appt
Sunday Closed Closed

Connect with us

  • 1295 Peoria Street Washington, IL 61571
  • (309)444-5800
  • Get Directions
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Community Content
Member Wellness