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Address and Phone Number:
28885 State Route 62
Damascus, Ohio 44619
Phone: 330-446-4096
Fax: 330-446-4108
Patient Forms
If you wish to have a copy of your medical records released to another party, please complete the Authorization Form below and bring it to our office:
Authorization for Disclosure of Protected Health Information
If You Are A New Patient, Please Print And Complete The Following Forms And Bring Them With You To Your First Visit: