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New Patient Forms

Below you will find links to the several forms and information sheets that will prepare you for your office visit or for your phone consultation. Please print all of the forms and BRING the appropriate INTAKE form, a signed Payment and Refund Policy and a signed Informed Consent with you to your visit. If you cannot print these forms, please provide our office with your mailing address and allow adequate time before your appointment to receive and to fill out the intake form.

Welcome Letters

Fee Schedule

Please CHOOSE the appropriate intake form:

Payment and Refund Policy

Informed Consent

and bring that form and the following two forms with you to your appointment. Alternatively, please mail or fax the forms to 216-707-0162 24-hours before your scheduled appointment time.