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New Patient Forms

Your first visit to Dr. Donald Farley & Dr. Priyanka Mude's office establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.



Please click on the links below to view and print our new patient forms. If you are having trouble viewing these forms, you may need to install Adobe Reader. Click here to install Adobe Reader.

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Our Locations

3 Convenient Locations

Office Hours

Our Regular Schedule

Painesville Hours

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-4:00 pm

Wednesday:

8:00 am-3:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-3:00 pm

Saturday:

Closed

Sunday:

Closed

Ashtabula Hours

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-4:00 pm

Wednesday:

8:00 am-3:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-3:00 pm

Saturday:

Closed

Sunday:

Closed

North Canton Hours

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

9:00 am-12:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

9:00 am-12:00 pm

Saturday:

By Appointment

Sunday:

Closed