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(513) 398-2020
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Exclusive Offer

NEW PATIENT SPECIAL$79 Includes: Consultation, Examination, and One Set of X-rays ($100 Value) 

 or

NEW PATIENT MASSAGE SPECIAL: $39 One hour massage

($60 value)

Just mention this promotion from our website.

Sign-up using the form or call us at to take advantage of this exclusive offer.

Offer not valid for Medicare/Medicaid beneficiaries. Offer only valid for New patients of Mason Chiropractic & Rehabilitation Center.

Mason Chiropractic & Rehabilitation Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 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!

Mason Chiro New Patient Form

Consent to Treat

PHI Consent

Nutrition Consent 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.