Christopher Omeltschenko, D.D.S.
6560 Colerain Ave., Cincinnati, OH 45239

Online Forms

Get a head start on your appointment.

Fill out your patient paperwork using our secure online forms.  It’s fast and easy!

  1. Click here to be taken to the forms.
  2. There are 3 short forms to complete.  After entering in the requested information on each form, select “Submit”
  3. You do not need to sign the “Medical History” form.  We will get your signature at your appointment.

That’s all you need to do – there’s no need to print the forms.