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 first form listed below.  For questions, leave a message at 937-887-0075 and we will respond within 24 hours )


Web Based Forms (New patients should complete all of the web based forms, or download the new patient packet)

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LuxSci: Secure communications

Downloadable Forms

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