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NEW PATIENT SPECIAL: $99 Includes: Consultation, Examination, and One Set of X-rays   Price does not include chiropractic adjustment ($50)

 or

NEW PATIENT MASSAGE SPECIAL: $59 One hour massage

($80 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 that are not using health insurance.

Online Forms

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


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