New Patients

REGISTRATION/HISTORY FORMS

New patients will be required to fill out a Registration and Medical History form. You are welcome to print the forms prior to your appointment and bring the completed forms with you.  See printable forms below.

MEDICAL RELEASE FORM

Whether records are for the patient’s personal use or being released to a third party by the patient, a Medical Release Form must be completed.  

Once a Medical Release Form has been properly completed and returned to your provider, please allow 5 to 7 business days to process your request, as the information may not be onsite.  Keep in mind, each health care facility in Ohio must maintain records for six (6) years from the date of discharge, documenting the patient’s needs and assessments and services rendered.  Please contact the office to confirm your records still exist, if they exceed the legal required time frame.