Below are patient documents for your use. If you have any questions please do not hesitate to contact us. Feel free to fill out the contact form below and we will respond to your questions or needs.
Patient Registration Forms
Please download, print and bring the registration forms below to your first visit.
Complete this page if patient is 65+ years or older.
Questions? Contact us!
Office Hours
Monday – Friday 8:00 am to 5:00 pm
Contact Us
Phone:
513-943-0400
Email:
Location & Directions
4415-B Aicholtz Road, Suite 200
Cincinnati, OH 45245
If you need a payment plan, click on the Care Credit button to see if you qualify for our payment plan. Our billing manager can also help you with your Care Credit application.
Call 513-943-0400 and ask for Steve, our billing manager. Steve will be glad to help you understand your costs associated with treatment by Dr Cooper.