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513-241-4223
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Billing questions call 513-843-7716.

PRINT & FILL OUT BEFORE YOUR VISIT

online forms

Patient Questionnaire

Tell us a little about yourself by answering a few simple questions so we are able to best give you the quality care you deserve.

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HIPAA Acknowledgement

We never share your information without your knowledge or consent.

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No-Show Fee Agreement

To avoid a $25 no show fee, simply give us a call and we can cancel or reschedule your appointment.

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WE LOOK FORWARD TO HEARING FROM YOU

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