Patient Forms

The new patient registration form on the right is needed by our team to ensure that you receive the care you deserve. You may complete this form and bring it to your appointment, or we ask that you please arrive 15 minutes early to complete the form in-office. 


If you are visiting us to resolve headache/jaw pain/migraine or sleep apnea issues, please complete the appropriate questionnaire and bring it with you to your appointment.

19 W. Market St., Suite A 

Tiffin, OH 44883

P: 419.447.9541 | F: 419.447.1223

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