Patient  Forms

History Form
File Size: 112 kb
File Type: pdf
Download File
Privacy Policy
File Size: 74 kb
File Type: pdf
Download File
Please fill out the History Form and Privacy Policy completely and sign on the back of each.

​Bring these with you to your appointment.
Contact Us
147 South Main Street
Columbiana, OH 44408
Phone: 330-482-2424
Fax: 330-482-2989
Office Hours
Mon      8:30 am - 5:00 pm
Tue        8:30 am - 7:00 pm
Wed       CLOSED
Thurs     8:30 am - 5:00 pm
Fri           8:30 am - 5:00 pm
Sat          CLOSED
Notice of Privacy Practices
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