Visit Information


A referral from your primary care or OB/GYN physician may be required for your appointment. Please check your health insurance plan. For referrals please fill out the Patient Referral Form.

What to bring to your appointment

  • Photo ID
  • Current insurance card(s)
  • Co-payment(s), if required
  • Tests results/films that have been requested by us
  • If you have Medicare, please bring your pharmacy insurance drug card.

Please read our Frequently Asked Questions for additional information about office visits.

Appointment canceling/rescheduling guidelines

If you must cancel your appointment, we’ll be happy to reschedule at a more convenient time. We ask you to give us 24 hours advance notice, providing an opportunity for another patient to been seen.

Patient Forms

If you are a new patient, please complete both a New Patient Information Sheet and a New Patient Medical History Form and bring with you to your first appointment.



If you are having surgery, please fill out this breast surgery intake form, which provides important information about your medical history.


MyChart Proxy Access

If you would like another person to have access to your OhioHealth MyChart account, please complete this proxy form and bring or mail it to our office.