Please open, print, and complete documents below and mail to the office prior to your appointment:

Health History Form.doc

 Hippa Acknowledgement of Receipt of Privacy Practices.doc

 Hippa Notice of Privacy Practices.doc

 

 

 

 

55 Caren Avenue Suite 370, Worthington, Ohio 43085

 

 

 

Special thanks to Rich Images Photography

www.richimagesonline.com