Dr Ajay's Health and Wellness Telemedicine
All fields are required
Type of Visit
CTR Consult
CTR Follow up
Video Visit
Office
Dr Ajay's Health and Wellness Telemedicine
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Requested time
Select a time below under Available Times
Office Address:
PO Box 4985071 Cincinnati OH 45249
PO Box 4985071 Cincinnati OH 45249
New and Existing patients can make appointments online.
Office Phone:
(513) 791-2206
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
30 minutes
Submit Appointment Request
You will receive an email confirmation.
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Action Required: Confirm your appointment