Patient Guide

Appointment/Procedure Preparation

To schedule an appointment, please call our office at (937) 208-7776(937) 208-7776, from 7 a.m. to 5 p.m.

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

Please bring your medication bottles or a list of the medications you are currently taking. Fasting is unnecessary, unless requested by your physician.

If you have a co-pay, please be prepared to make payment at the time of service. 

After Your Visit or Procedure

If you do not have a return appointment, test results are released to a patient's MyChart account automatically 3 days after the test. Please contact us if you have not heard from us within two weeks of your test.

Please request prescription refills at your scheduled office visits. If you do need a refill before a scheduled visit, please call the office or send a MyChart message. Please allow 48 to 72 hours for the refill, since a provider must approve all prescription refills.

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.