16706 Chillicothe Rd (RTE 306)
Suite 500
Chagrin Falls, OH 44023

Phone : (440) 708-0020
Text Us: (440) 708-0020

New Patient Information


Your first visit to our practice establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page.

Patient Forms

Below are the Medical History and Privacy Policy forms you'll need to complete on your first visit. You can expedite matters by downloading these forms, completing them at home and handing them to our staff when you arrive for your initial visit to our office.

Patient Consent Form

Notice of Privacy Practices

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.


We are located at 16706 Chillicothe Rd (RTE 306) Suite 500, Chagrin Falls, OH 44023. We are near the intersection of 306 and E Washington on the same side of the street as Heinen's. We are in the brown brick professional buildings across from Perfect-A-Smile Dental Group.

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