Patient Guide

Appointment/Procedure Preparation

To schedule an appointment at North Dayton Primary Care, please call our office directly at (937) 277-2121(937) 277-2121. Any special instructions regarding your appointment will be discussed with you during the first phone conversation.

We ask new patients to arrive 15 minutes prior to their initial appointment to complete any of the necessary forms from the list below: 

• Patient Registration Form - Adult
• Patient Registration Form - Minor
• Established Patient History Form
• Medical Release Form
• Verbal Communications Form
• Advance Directives Patient Education Form
• Advance Directives - Health Care Power of Attorney and Living Will

What to Expect

If you are a new patient, please bring either your medications or a list of the medications you are currently taking along with your insurance card(s) and any pertinent medical information. Returning patients should bring their new insurance card(s) when applicable. You may be asked to complete a new Patient Registration Form during your first visit of each new year.

Please be prepared to pay any co-pays, deductibles, or co-insurances at the time of service.

After Your Visit or Procedure

After your visit, you will receive instructions for follow-up appointments or referrals. If you had tests done, you will receive a follow-up phone call or a letter with your results.

Billing and Insurance

Premier Physician Network’s customer service team is happy to answer any questions about billing and insurance you may have. Find detailed billing and insurance information in the Premier Physician Network billing section.