Request an Appointment 

Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact our office at (937) 398-1066. After you submit your request, our appointment scheduler will respond within 48 hours. You can also download new patient forms to save time in the office. See below for more information about your office visit.

What to Bring with You to Your Appointment

  • Insurance card, photo ID, and co-pay (all co-pays are collected at check-in)
  • Completed patient forms if you have them
  • Films/CDs of X-rays, MRIs, CT scans, or bone scans done in the past year
  • Reports of EMGs done in the past year
  • List of medications
  • List of surgeries

What to Wear for Your Exam

  • Shorts or skirt for knee or hip exam
  • Tank top, T-shirt, or sleeveless shirt for shoulder exam