3666 Paxton Ave 

Cincinnati, OH 45208 

P: 513-871-0684 

F: 513-871-0705 


Patient Forms

Patient Forms


When coming into the office, we want all of our families to be familiar with our privacy and practive policies. These policies are being evaluated every year to better serve The POHP community. The following forms will need to be read, signed, and returned to the office via email, fax, or in person per calendar year.

       Office Visit Forms:   


        School Forms:

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.