Welcome!  We are looking forward to assisting you on your path to optimal health.  If you would like
to become a new patient at our office please take the time to download the forms below, fill them
out in their entirety and bring them with you to your scheduled appointment.


Chiropractic
General New Patient Info
HIPAA Notice of Privacy Practices ... Must Sign
Financial Policy - Must Sign
X-ray Release Form
Schippel Chiropractic
Dr Karl P. Schippel & Dr. Annette Kutz Schippel
1429 S. Main Street
Jacksonville, IL 62650
Ph: (217) 245-9797        Fax: (217) 245-2524
schippelchiropractic@yahoo.com