New Patients Forms

If you would like to be evaluated by Dr. Hanna, please call/text us at (614) 918- 4347 or click here to initiate your visit via the Spruce App. But before starting your medical evaluation and treatment, the following TWO forms listed below will need to be reviewed, filled and and signed indicating your understanding and agreement.

The signed forms will need to be scanned and sent to us only via the secure Spruce App that you will need to download to initiate the visit as noted above.

Downloadable copies of the TWO needed documents are available by clicking the underlined forms below:

Informed Consent For Telemedicine Services

Agreement For Telemedicine Services

Additionally, please review the downloadable copy of our:

Notice Of Privacy Practices