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Home » What's New » Online Patient Registration Forms

Online Patient Registration Forms

You can now request your next appointment online. 

Visit the Contact Us section of our web site and complete the Patient Registration Form.  The form is secure and our office will be notified once the form is complete.  When you walk in for your next appointment, we'll already  have the information entered into our computers.  We're always looking for ways to serve our patients better.

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We’d like to thank you all for your patience and understanding these last few months. As Governor Mike DeWine begins to slowly reopen Ohio, know that we will continue to make our patients’ health and safety or top priority.

We will continue to maintain the following precautions:

• Screen patients at the door with questions and by checking their temperature.

• All patients are required to wear a mask at all times.

• Keeping patients separate as much as possible.

• Limit the number of people in the waiting room.

• Wear our masks, wash our hands, and sanitize the patient rooms as we’ve been doing.

• Screen our employees before they begin working. Staff is not permitted to work if they are sick.