Patient Registration, Westlake OH

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data are of primary concern and we have taken every precaution to protect it. If you wish to read through our office’s HIPPA privacy policy click here.