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Nithya Ramanathan, M.D.

Board Certified Child and Adolescent Psychiatrist
Board Certified Adult Psychiatrist

5190 Blazer Pkwy
Dublin OH 43017
P: (614) 787-2714
F: (614) 389-3041
E: drr@dublinpsychiatricservices.com
www.dublinpsychiatricservices.com

HIPAA Form

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Financial Responsibility Form

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Consent to Treat Form

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Consent to Treat Child Form

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