View Our Direct Primary Care Membership Agreement

*See below for all of our specific forms.

If you are interested in setting up an initial appointment or learning more about our Direct Primary Care program please contact us.

Direct Primary Care Program

This program is for any family or individual (no medicare).

Download Form

Medicare Patient Agreement

If you are a patient with medicare, please call us at 937-705-6287.

Patient Portal Registration

This allows our patients to request appointments, medication refills, and exchange messages with our doctors and staff.

Download Form
Request a Call Back

If this is urgent, please call our office directly at <a href="tel:9377056287">937-705-6287</a>.

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