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New Patient Forms

Save time at your first visit! Fill out your new patient forms before you come in for your appointment.

  • New Patient Questionnaire
  • Health History Form
  • Office Policy and HIPAA
1702 Allentown Rd.
Lima, OH 45805
(419) 741-9903

Hours

Monday 8:00 AM - 5:00 PM
Tuesday 8:00 AM - 5:00 PM
Wednesday 8:00 AM - 5:00 PM
Thursday 8:00 AM - 5:00 PM

*By appointment only.

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