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Online Registration Forms

You can now request your next appointment online. 

Visit the Contact Us section of our web site and complete the Patient Registration Form.  The form is secure and our office will be notified once the form is complete.  When you walk in for your next appointment, we'll already  have the information entered into our computers.  We're always looking for ways to serve our patients better.

 
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Locate Us

  • Belden Village
    4157 Belden Village Mall
    Canton OH 44718
    Phone: 330-494-4140
  • Summit Mall
    3265 W. Market Street
    Akron OH 44333
    Phone: 330-836-2200
  • Richmond Mall
    691 Richmond Road
    Richmond Heights OH 44143
    Phone: 440-442-4930
  • Westgate Mall
    3580 Westgate
    Fairview Park OH 44126
    Phone: 440-356-4020