New Patient Checklist
Please bring the following items to your first appointment
- Driver’s License or other photo ID
- Insurance Card(s)
- Any required co-payment
- Referral forms (if required)
- Patient Registration Form
- Consent For Medical Treatment Form
- Review of Systems & Medications
- Patient Privacy Policy
- List of prescription & over-the-counter medications
- Relevant medical records and/or x-rays if available
- Your Feet!
Payment Options: Cash, Check, American Express, Discover, Mastercard & Visa
We accept the following insurance plans.
Aetna, Anthem, Aultcare, Cigna, Humana, Medicare, Medical Mutual (PPO), Ohio Health Choice PPO, Rural Carrier Benefit Plan, The Health Plan, Tricare, UMR, United Health Care
**This list may change periodically.
Contact your health plan if you have any questions.
