Is Your Back Pain Out of Control?  
Referral Form

Please click the referral form link below to download a copy of our physician referral form.

   Do you have a family member, neighbor, or co-worker that suffers from headaches, neck or low back pain? Let them know that WE CAN HELP!!!!! The greatest gift that one can give is the gift of health!

It may not be necessary to have a referral from a medical doctor, give us a call at (513) 755-7888 and we will let you know.

ReferralMicrosoft Word Document form   (Clike on form to open)

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7862 Kingland Drive Suite 201-E  West Chester, Ohio 45069
Phone: (513) 755-7888 Fax: (513) 766-7400
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