9:00am to 4:30pm Monday – Thursday
Please arrive 10 – 15 minutes prior to your appointment time and bring the following information:
List of medications, vitamins, herbs or nutritional supplements that you take on a regular basis. Please include the dosage information or you may just bring the bottle with you and we will record them.
Any MRI, CT, X Ray films or CD’s for your physician to review.
List of questions you may have for your doctor.
WHAT TO BRING WTH YOU
Please bring the following information to your visit, if you have not already faxed or brought this information to the practice prior to your scheduled visit:
Driver's license or other photo identification
Completed Patient Information form
Completed Medical History form
Completed HIPAA form
Completed Appointment and Balance Due form
Completed Financial Policy form
If you have records from another facility you would like transferred to us for your appointment please complete the attached Release of Information form.
If you must cancel your appointment please call (419) 483-2403 at least 24 hours in advance. If you fail to do so you will be charged a $50.00 fee. If you must cancel a testing appointment, please call (419) 483-2403 at least 24 hours in advance or you will be charged a $100.00 fee.