Patient Forms

To make your first visit with our physicians as smooth as possible, please fill out each of these forms, and then print and sign them. Please bring the forms with you to your first appointment.

Plan to arrive 15 minutes early so that we can handle the necessary paperwork in a timely manner.
If you have difficulty completing any of these forms, please report the issue by calling our office at 740.439.0733.

Patient Registration

Patient Authorization

Notice of Privacy Practices

Records Release Form

Financial Policies

Financial Assistance Policy