To save time during your appointment, you can fill out these forms and bring them with you. If you are a new patient please read, print, and fill out all forms prior to coming in for your appointment. If you are an established patient, please read, sign, and print the financial policy, dilation consent, and privacy notice prior to coming in for your next office visit.
Please Note: Adobe Reader may be required. If you need Adobe Reader you can download it here.
OFFICE HOURS Monday: 9:00 am - 5:00 pm Tuesday: 9:00 am - 5:00 pm Wednesday: 9:00 am - 6:00 pm Thursday: 9:00 am - 6:00 pm Friday: 9:00 am - 5:00 pm
137 East Ave., Suite 100 Tallmadge, OH 44278 Phone: 330-630-2580