Forms and Policies

Most of our forms must be completed electronically prior to your child's visit. Please arrive 15 minutes early to complete the online forms or fill them out the day prior to your appointment. If your online paperwork is not completed by your appointment time, you may have to wait to be seen.

If you have a child that is transferring to our practice: 

Medical Records Release

Financial Policy

Other forms you might need for school, work or daycare: 

 Work Permit Instructions and Form
 Ohio Sports Physical Form
 Immunization Certificate Kentucky
 Ohio Medical Statement for Child Care

Hyde Park Office

3330 Erie Ave.
Cincinnati, OH 45208
513-979-0569 (fax)

Kenwood Office

7720 Montgomery Rd.
Cincinnati, OH 45236
513-891-7696 (fax)

Call HPP at (513) 321-0199 during office hours or after-hours.

Hyde Park Hours

Monday - Friday:

9:00 am - 5:00 pm


8:30 am - 12:00 pm



Kenwood Hours

Monday - Friday:

9:00 am - 5:00 pm

Saturday, Sunday:


We are closed daily from 12 pm-1 pm for lunch.