New Patient information

Referrals

We accept new patients by referral from another medical provider. After we receive a referral from your doctor or nurse practitioner, we will reach out to you to schedule an appointment. 

New Patient Packets

We have a packet of new patient forms necessary for your first appointment with us.  These may be mailed or you can print the packet below.  Please bring the new patient packet with you to your first appointment.

What to bring

Please bring your new patient packet, current medication list (or pill bottles), photo ID, insurance cards and co-payment if applicable.  We may ask for a urine sample at your first visit. 

New Patient Packet (pdf)

Download

referring provider forms

Fax referral forms available for download here

Fax Referral Form-Westerville (pdf)

Download

Fax Referral Form-Lancaster Pickerington (pdf)

Download

Fax Referral Form-Newark (pdf)

Download