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Phone: 740-901-1174- Powell, Ohio
Email: Spravato@Azizpsych.com
Phone: 740-300-2080- Logan, Ohio
Email: Spravato@Azizpsych.com
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Contact Aziz@azizpsych.com
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new patient request
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New patient request
Patient Full Name
Patient Email
Patient Phone
Patient Date of Birth
Please select the desired service
Please Select
Spravato treatment
Medical marijuana
Suboxone treatment
PTSD
Depression
Anxiety
OCD
Adhd
Autism’
Drug abuse
Schizophrenia
What is your insurance provider?
Please Select
Medicare
Medicaid
RR Medicare
Anthem BCBS
Aetna/Coventry
Cigna (Evernorth for behavioral health)
The Health Plan of Ohio
HealthSmart
Medical Mutual
Magellan
Ohio BWC
Tricare East
UHC (Optum Behavioral Health)
CareSource
Molina
VACCN (Veterans)
Buckeye
Wellcare
Valor
MediGold
Ohio Health Choice
Humana Behavioral Health
Other
Which office location?
Please Select
Logan, Ohio
Columbus, Ohio
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