Request an Appointment

New Patients

To schedule an appointment please call us at 330-305-0838 (844-469-2663) or request an appointment online using our interactive appointment request form. We will respond to you within 48 hours. If this is a true medical emergency, DO NOT WAIT! Call 911 or proceed to the nearest emergency room immediately.

Once you have scheduled your appointment, you may pre-register by completing the New Patient Registration forms below, or download and print the forms and bring them to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.

Please bring any diagnostic films or test results that may have been ordered or performed by another physician to your scheduled appointment.

Patient Pre-registration Forms

Please note: It may take a few minutes to load the forms. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below and following the on-screen instructions.

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Current Patients

To request an appointment or update forms, please sign in to our patient portal to request an appointment and update forms. If you are not currently authorized to use this portal, call our office at 330-305-0838 (844-469-2663) to obtain a registration PIN. If you do not obtain a registration PIN, you may still request an appointment by using our interactive appointment request form.

Appointment Request Form

Please do not use this form if you have an urgent medical problem or you need to re-schedule an existing appointment. Instead, contact our office at 330-305-0838 (844-469-2663).