Visit Information

When making your primary care appointment...

To better serve our patients and minimize your wait time, we request you make separate primary care appointments for each family member to be seen by the doctor

We suggest you arrive 15 minutes before your scheduled time to allow our staff to process your paperwork in a timely manner.

Our physicians want to address all of your medical concerns. In order to adequately address all concerns, we must schedule the appropriate amount of time. When scheduling an appointment, please:

• Share with the scheduler the reason for your visit.
• Schedule separate appointments for multiple concerns.

If you must cancel your appointment, we’ll be happy to reschedule at a more convenient time. We ask that you give us 24 hours in advance notice providing an opportunity for another patient to been seen.

Please bring the following to your primary care appointment

To insure insurance claims are being processed correctly and we are up to date on any changes in your treatment plans being administered by another provider, please bring the following items to each visit:

• Current insurance card(s)
• Photo ID
• All current medications and dosing instructions
• Over-the-counter supplements or vitamins
• Co-payment

Patient Forms

Each new patient must complete the following forms. For your convenience, you may print the forms below and prepare them before your appointment:

• New patient registration form
• Medical history and health questionnaire form
• Financial policy form
• HIPAA/privacy notice form
• Consent to Examine Minor without Parental/Guardian Presence form
• Patient Responsibilities Form: Please read and complete all three sections of this form to indicate that you understand Patient Responsibilities and to acknowledge that you received our Notice of Privacy Practices. The third section is very important to allow us to discuss your healthcare information with someone other than yourself. This allows us to leave messages or voice mails on designated phone numbers you provide. Please read carefully.
• Release of medical records form

Add MyChart Proxy Access

If you would like another person to have access to your OhioHealth MyChart account, please complete this proxy form and bring or mail it to our office.