Client Referral

Referral Form

Help connect individuals in need with our healthcare services. Complete this form to refer a client to Ebenezer Healthcare Access.

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Dayton Office

196 Hawthorn St

Dayton, Ohio 45402

+1 (937) 580-8817

+1 (937) 567-0139

Columbus Office

4889 Sinclair Rd, Suite 204

Columbus, Ohio 43229

+1 (614) 396-8578

Cincinnati Office

4400 Reading Ln

Cincinnati, Ohio 45229

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