Please print and fill out the forms below.
Bring to appointment, along with all vision & medical insurance cards, to keep files updated and obtain authorizations/benefits.
The following is a short list of the many insurances we accept.
If you are unsure of your coverage or it is not listed here,
please phone our office so that we may assist you.
Our Location Austintown, OH
Office Hours Open Weekends
1300 South Canfield Niles Road
Austintown, Ohio 44515-4081
Office Phone: (330) 792-9900 Office Fax: (330) 953-0778
*Entrance located on left and back of "Professional Building" suites*
Mon & Wed 9am-4pm Tues & Thur 9am-7pm
Friday 9am-5pm Saturday 9am-12noon
*Please phone for Emergency Medical Appts*
We Accept the Following Payment Methods: