If within the past 14 days you have tested positive for COVID-19, or if you have NOT been FULLY VACCINATED and have been exposed to COVID-19 or have a fever or other signs of infection, please call 614-486-5200 to reschedule your appointment. There will be no cancellation fee due to being ill or quarantined.

New Patients

If you would prefer a printable version of this form, you can download one here.