Need to schedule an appointment? Contact us at 937.599.1411.

Forms and Links

School Based Forms (Students or school staff who plan to visit one of our school-based health centers should complete the registration form listed below. )


Web Based Forms (New patients should complete the New Patient Information Form, or download the New Patient Printable Packet)

LuxSci helps ensure HIPAA-compliance for email and web services.

LuxSci: Secure communications

Downloadable Forms

In the News


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