Primary Office
All fields are required
Type of Visit
RESPIRATORY ILLNESS
STD PANEL TESTING & TREATMENT
URINARY PROBLEM
RAPID HIV TESTING
DRUG SCREEN - URINE
DENTAL PAIN / ABSCESS
HANGOVER CARE
ALLERGIC REACTION
EAR INFECTION
WOUND CARE / LACERATION /SUTURES / BURN
EYE / CONJUNCTIVITIS
SCHOOL / SPORT PHYSICAL EXAM
MEDICATION REFILL
EMERGENCY MENTAL HEALTH CONSULT & TREATMENT
JOINT SPRAIN / MUSCLE STRAIN
EAR WAX / CERUMEN REMOVAL
FOREIGN BODY REMOVAL
GYN FOREIGN BODY REMOVAL
NAUSEA / VOMITING
ADDICTION MED TREATMENT & REFERRAL
Video Visit
Office
Primary Office
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:
22 E 16th Ave Columbus OH 43201
22 E 16th Ave Columbus OH 43201
New and Existing patients can make appointments online.
Office Phone:
+1 614-715-8271
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