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New Patient Forms

Please complete the 4 forms below for your first appointment

(Copies are also available at the office):

  1. New Patient Forms
  2. Informed Consent Form
  3. Privacy Acknowledgement Form
  4. HIPPA Form

Thank you!

C

  • Email
    adam@gloyeskeacupuncturepointe.com
  • Phone
    513-401-0468
  • Address
    5958 Fairfield Road
    Oxford, OH 45056

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Office Hours

  • Oxford, OH Location:

Monday-Friday: 10 AM – 6 PM

Saturday : Appointment Only

Sundays: Closed

If you need an appointment before 10 AM or after 6 PM, I will work with you!

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