For your convenience, we have provided patient-related forms at the bottom of this page that can be downloaded and printed from home. Please bring these forms with you on the day of your visit. Thank you.
7:30 a.m. - 4:30 p.m., Monday through Friday
All of our providers are currently accepting new patients.
Your Initial Appointment
When arriving for your initial office visit, please arrive fifteen (15) minutes prior to the scheduled appointment time, so that your chart may be completed prior to being seen by the doctor. Please be sure the following information is available prior to arriving:
Save time by printing and completing forms at your convenience.
- Patient Demographic Form
- Direct Endoscopy Form
- Current insurance information. A photocopy of your card will be required.
- A Copy of the Referral (if required) from your family doctor.
- Cancellation Policy (PDF)
- Notice of Nondiscrimination (PDF)
- Patient Rights Notification (PDF)
Please make us aware if there are any changes in your family doctor, insurance company, or current medications.
If you must reschedule or cancel an appointment, we ask that you give us 24 hours notice so we may give that time to another patient.
Co-pays must be paid at the time services are rendered, as required by your insurance company. We accept cash, check, Visa, MasterCard and Discover.
If you have any questions, please call our office 419.471.1350
We look forward to meeting you.