PHYSICIAN REFERRAL
If your patient would like to schedule an appointment at our office, please complete the information below on their behalf and we will be sure to contact them within one to two business day to set up an appointment.  The Hearing Center of Ohio appreciates your referral and hopes to receive more in the future.  Every patient is important to us, so we'll be sure to take good care of whoever you send our way.  
Patient Name
Patient Phone
Referring Physician
Patient Date of Birth
Patient Address
Day/Time Patient Prefers (i.e. Monday or Wednesday afternoons)
Submit
CONTACT INFORMATION
CALL US ANY TIME!  
WALK-INS ARE WELCOME!
Address:
262 Neil Ave.
Suite 120
Columbus, OH 43215
*at The Eye Center
 Convenient, Free Parking
Telephone:
(614) 626-9428 

Email:

Hours:
Monday- Friday 8:30 am to 4:30 pm
And by appointment.