Auburn Avenue
(on the grounds of Christ Hospital)
2123 Auburn Ave
Suite 209
Cincinnati OH 45219
Phone: 513-421-5558
Fax: 513-632-5804

Five Mile
7691 Five Mile Rd.
Suite 214
Cincinnati OH 45230
Phone: 513-232-3277
Fax: 513-232-3444

Galbraith
(Across from Jewish Kenwood)
4760 E. Galbraith Rd
Suite 118
Cincinnati OH 45236
Phone: 513-792-0000
Fax: 513-791-9666
Forms

You may easily download our registration forms and complete them prior to your first visit to save you time. You will need Adobe Acrobat Reader to view these PDFs, and if you do not have Acrobat, you can download a free version.

Registration Form

Notice of How We Will Use Your Health Information

Acknowledgement of Notice (required)

Patient History Form