Patient Forms

History Form
File Size: 149 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
Office Hours
Mon    9:00 am - 5:00 pm
Tue     9:00 am - 7:00 pm
Thu     9:00 am - 5:00 pm
Fri       9:00 am - 5:00 pm
Sat      8:00 am - Noon
Notice of Privacy Practices
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