Back And Pain Rehab Center

Dr. Tariq Arif
Chuck Conti PT
Chuck Conti PT
8300 Princeton - Glendale Rd.
West Chester, OH 45069

Day Morning Afternoon
Monday 8:00 6:00
Tuesday    
Wednesday    
Thursday    
Friday    
Saturday By apptointment  
Sunday    
  • Chiropractic Care
  • Massage Therapy
  • Physical Therapy
  • Rehabilitation
  • Laser Therapy
  • Sports Therapy
  • Pain Management
  • Auto/Accident Injuries
  • Work Injuries
  • Stress Management
  • Mastercard
  • Visa
  • American Express
  • Discover
  • Cash
  • Money Order
  • Check
  • Most Insurances

Welcome to the Back and Pain Rehab Center new patient center!

We understand that arriving at a doctors office for the first time can be nerve racking. Filling out paperwork, learning  new faces and names, and getting to know your way around the office can be an overwhelming experience.

That's why at Back and Pain Rehab Center our aim is to  remove any  stress or causing unnecessary tension and to make you feel comfortable. In this area of the website you will be able to take care of items necessary for your visit prior to arriving, in the comfort of your own home.


Back and Pain Rehab Center offers our patient form(s) online so they can be completed it in the convenience of your own home or 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!

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


Download the Free AdobeReader®