During you first visit to our office you will be asked to fill out a Patient Information Form and Medical History Form. For your convenience we have made these forms available online. Fill the forms out at your convenience to save time at the office.

New Pateint Form

Medical History Form

Print these out on your local printer, fill them out and fax to our office at the fax number listed below. You may also fill out the forms and bring it in to the office on your first visit.
7835 Remington Road
Cincinnati, Ohio 45242

Phone: 513-793-1977
Fax: 513-793-1943

Reach us via e-mail:
Alan R. Weinstein: