Patient Information

Helpful information for new and established patients

Patient Information & Resources

Welcome to our resources page. Here you will find information such as insurance plans that we accept, Health Maintenance Information, and links to sites that may be of interest to you. You can also print forms to fill out before your visit to one of our offices.

HIE Notice
We participate in one or more Health Information Exchanges.  Your healthcare providers can use this electronic network to securely provide access to your health records for a better picture of your health needs.  We and other healthcare providers may allow access to your health information through the Health Information Exchange for treatment, payment or other healthcare operations.  This is a voluntary agreement.  You may opt-out at any time by notifying your physician’s office.

Televisits
For many people today, telemedicine is a convenient and effective way to see their healthcare provider. Before beginning your TeleVisit, make sure that you:
• Have an active Patient Portal account, with username and password
• Set aside a secure, private location

CLICK HERE to learn more about how to participate in a televisit or WATCH VIDEO.

PATIENT PORTAL

TELEVISITS

PATIENT DOCUMENTS

BILLING QUESTIONS

Any questions that you have regarding your billing needs, please call (330) 899-9350 Monday through Friday, 8am to 5pm.

NEW ADULT PATIENT FORMS

If you are a new patient please fill out ALL of the following forms:

  1. New ADULT Patient Form
  2. Annual Patient Health and Medical Claims Processing Release
  3. Medical History
  4. Authorization for Use and Disclosure of PHI

NEW CHILD PATIENT FORMS

If you have a child that is a new patient please fill out ALL of the following forms:

  1. New CHILD Patient Form
  2. Annual Patient Health and Medical Claims Processing Release
  3. Medical History
  4. Authorization for Use and Disclosure of PHI
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