Independence
Rockside Corners Plaza
6901 Rockside Rd.
Independence, OH 44131
216.525.0740


Sandusky
5005 Milan Road
Sandusky, OH 44870
419.625.7904

Forms

We are pleased to offer the ability to complete your paperwork prior to your exam. Feel free to download and print the PDF files, fill them out, and bring both the Patient History Form  into the office at the time of your appointment.


Patient History Form (Sandusky office only)


HIPPA

 

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