New Patient Forms

Welcome to Capital Chiropractic & Rehabilitation Center's New Patient Portal.

Step One: You'll be able to submit your initial paperwork and documentation at the link below.

Step Two: When you arrive to the office, you'll have a few more documents to fill out and sign.

Please submit your initial new patient paperwork using this link:


All patients:

To help you navigate your insurance policy, we’ve created this Insurance Verification Worksheet. This tool will give you the right questions to ask when talking to your insurance company about your policy benefits.

Please review this PDF to familiarize yourself with clinic policy and HIPAA regulations.

Please review this PDF for CCRC Consent to Communicate PHI by Email

Please note, there is free parking in our lot, located immediately south of our building and accessed from E. 6th Street.