Patient Center

Patient Forms

Our offices are located at: 618 Pleasantville Rd, Suite 204, Lancaster, Ohio, 43130 and 680 Buckles Court North, Suite 2B, Gahanna, Ohio, 43230.

To help us better serve you:

  • Please complete and submit all the online forms below on each tab prior to your appointment, or download each form, print, complete and bring with you to your appointment.
  • Please bring your insurance card(s), photo ID and co-payment if required.

Your eyes may be dilated. We advise that you have someone to drive you home from your appointment. We recommend that you bring a pair of sunglasses with you to your appointment.

Please call (740) 687-6902 with any questions or concerns regarding this appointment.

Patient Information

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Notice of Privacy Practice

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Financial Policy

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Medical History

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Patient Profile

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