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Neuro-Ophthalmology Online
Appointment Request

Please complete this form to submit your appointment request. The information is submitted securely to our office.

We respond to all requests within 48 hours but strive to respond within 24 hours. Do not submit this form for medical emergencies. For emergencies please dial 911 or immediately contact your medical provider by phone.

Name
Email
Phone
Date of Birth
Name of Insurance
Are you currently a patient?
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Additional Information

To provide better access for our patients, we have extended hours in our centralized scheduling department. Our new hours are: M-F 8am-5pm.

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Steven E. Katz, MD

Columbus
3545 Olentangy River Road, Suite 200, Columbus, Ohio 43214