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If you have finally decided that you want to receive health care from our team of health care professionals, you may submit an initial application to us by filling out the form below. Rest assured that the information that you give us will be kept with high confidentiality. Thank you.


5979 E Livingston Avenue, Suite 107 Columbus, OH 43232
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614-861-2727 614-861-2728 After Hours No. 614-373-7792
Mon – Fri: 9:00 am – 5:30 pm
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