New Patients

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

pdf podiatry patient form downloadNew Patients Form

pdf podiatry patient form downloadPrivacy Policy

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call (937) 228-3668. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

The list of insurance we accept:

  • AARP Medicare Advantage
    AARP Medicare Advantage Choice Plan 2 (Regional PPO)
    AARP Medicare Advantage Patriot (Regional PPO)
  • Aetna
    Aetna Medicare Plan (HMO) (H0628)
    Aetna Medicare Plan (HMO) (H3931)
    Aetna Medicare Plan (PPO) (H5521)
    Aetna Medicare Plan (PPO) with Extended Service Area (ESA)
    Aetna Medicare Plan (PPO) with Extended Service Area (ESA) (H5521)
    Aetna Select
    Aetna Select (Open Access)
    Better Health of Ohio
    Choice POS II
    Elect Choice EPO (Open Access)
    Kentucky/Ohio Medicare PPO
    Local Best/Coventry PPO
    Managed Choice POS
    Managed Choice POS (Open Access)
    Managed Choice POS (Si)
    OH DSNP Medicare HMO
    Ohio HNOption
    Ohio Healthnetworkoption (HNOption)
    Ohio Medicare HMO
    Ohio Medicare PPO
    Ohio Open Choice PPO
    Open Choice PPO
    Open Choice PPO (Si)
    Signature Administrators
  • Aetna Medicare
    Aetna Medicare Plan (HMO) (H3931)
    Kentucky/Ohio Medicare PPO
    Ohio Medicare PPO
  • Allstate Benefits
    Secure Choice (Broad)
  • Allwell
    Florida Wmr/Hnn (H1032)
  • Buckeye Health Plan - MyCare Ohio
    1554 (HMO D-SNP/PPO D-SNP)
    4756 (HMO)
  • Care Improvement Plus
    AARP Medicare Advantage Open (PPO)
    AARP Medicare Advantage Patriot Plan 1 (PPO)
    Medicare Advantage Assist (PPO CSNP)
    Medicare Advantage Choice (Regional PPO)
    Medicare Advantage Choice Plan 2 (PPO/Regional PPO)
    Medicare Gold (Regional PPO CSNP)
  • CareSource
    MyCare Ohio
    OH Dual Special Needs
    OH Marketplace
    OH Medicaid
    OH Medicare Advantage
  • Coventry
    Aetna Medicare Plan (PPO) (H5521)
  • Humana
    ChoicePOS
    HMO Premier
    Humana/ChoiceCare MD/ANC
    Humana/ChoiceCare PPO
    Humana/ChoiceCare+ PPO
    HumanaPPO
    Humanapreferred POS OpenAccess
    Medicare PPO
    Medicare PPO/Employer PPO Plus
    National EPO
    National POS OpenAccess
    National POS OpenAccess Plus
    OH Medicaid
    The Plus Network
  • MedMutual
    SuperMed HMO
    SuperMed PPO/Ohio Med
    SuperMed Preferred
    SuperMed Traditional
  • Medi Cal
    Medi Cal
  • MediGold
    MediGold
  • Medicaid
    Medicaid
  • Molina Healthcare
    Dual Options MyCare OH
    Marketplace
    Medicare Complete Care (HMO SNP)
    MyCare Ohio Medicaid
    Ohio Medicaid
  • Multiplan
    Beech Street
  • Network Health
    Traditional Medicare
  • Optima Health
    POS Standard
    PPO
    Plus Direct
    Vantage with PHCS Access
  • Oxford Health Plans
    Freedom + Choice Plus
    Garden + Choice Plus
    Liberty + Choice Plus
    Liberty + Core
    Metro + Core
  • Paramount
    Advantage (Medicaid)
    CDHP/PPO
    Elite/Promedica Medicare
    HMO/POS
    Individual Marketplace
  • Preferred Care Partners
    Medicare Advantage Walgreens (HMO CSNP)
    The Villages Medicare Advantage (HMO/HMO POS)
  • Prime Health Services
    PPO
  • Traditional Medicare
    Traditional Medicare
  • United Healthcare
    AARP Medicare Advantage (HMO-POS)
    AARP Medicare Advantage Choice (PPO)
    AARP Medicare Advantage Choice (Regional PPO)
    AARP Medicare Advantage Choice Flex (PPO)
    AARP Medicare Advantage Choice Plan 1 (PPO)
    AARP Medicare Advantage Choice Plan 2 (PPO)
    AARP Medicare Advantage Choice Plan 2 (Regional PPO)
    AARP Medicare Advantage Choice Plan 3 (PPO)
    AARP Medicare Advantage Choice Plan 4 (PPO)
    AARP Medicare Advantage Choice Premier (PPO)
    AARP Medicare Advantage Choice Rebate (PPO)
    AARP Medicare Advantage Flex (HMO-POS)
    AARP Medicare Advantage Focus (PPO)
    AARP Medicare Advantage Headwaters (PPO)
    AARP Medicare Advantage Lakeshore (PPO)
    AARP Medicare Advantage Navigate (HMO-POS)
    AARP Medicare Advantage Open (PPO)
    AARP Medicare Advantage Patriot (HMO-POS)
    AARP Medicare Advantage Patriot (PPO)
    AARP Medicare Advantage Patriot (Regional PPO)
    AARP Medicare Advantage Patriot Plan 1 (PPO)
    AARP Medicare Advantage Patriot Plan 2 (HMO-POS)
    AARP Medicare Advantage Plan 1 (HMO-POS)
    AARP Medicare Advantage Plan 2 (HMO-POS)
    AARP Medicare Advantage Plan 3 (HMO-POS)
    AARP Medicare Advantage Plan 5 (HMO-POS)
    AARP Medicare Advantage Plan 7 (HMO-POS)
    AARP Medicare Advantage Plus (HMO-POS)
    AARP Medicare Advantage Plus Plan 1 (HMO-POS)
    AARP Medicare Advantage Plus Plan 2 (HMO-POS)
    AARP Medicare Advantage Premier (HMO-POS)
    AARP Medicare Advantage Premier (PPO)
    AARP Medicare Advantage Premier Value (HMO-POS)
    AARP Medicare Advantage Prime (HMO)
    AARP Medicare Advantage Prime (Hmo)(hmo-pos)
    AARP Medicare Advantage Rebate (HMO-POS)
    AARP Medicare Advantage Riverbank (PPO)
    AARP Medicare Advantage Value (HMO-POS)
    AARP Medicare Advantage Value Care (HMO-POS)
    AARP Medicare Advantage Walgreens (HMO-POS)
    AARP Medicare Advantage Walgreens (PPO)
    AARP Medicare Advantage Walgreens Plan 1 (PPO)
    AARP Medicare Advantage Walgreens Plan 2 (PPO)
    AARP Medicare Advantage Walgreens Plan 3 (PPO)
    Assisted Living Plan (HMO POS ISNP)
    Assisted Living Plan (PPO ISNP)
    Assisted Living Plan 1 (PPO ISNP)
    Assisted Living Plan 2 (PPO ISNP)
    Base Plan (Choice)
    Caterpillar
    Charter HMO/Charter Balanced HMO/Charter Plus HMO
    Charter Plus
    Charter/Charter Balanced
    Children's Hospital of Colorado
    Choice
    Choice Excluding Sutter
    Choice HMO/Choice Plus HMO
    Choice Including McLeod
    Choice OCI
    Choice Plus
    Choice Plus Excluding Sutter
    Choice Plus Including McLeod
    Choice Plus POS
    Choice Plus with Harvard Pilgrim
    Choice with Harvard Pilgrim
    Chronic Complete (PPO C-SNP)
    Cisco Choice Plus
    Core
    Core Essential
    Core HMO/Core Essential HMO
    Doctors Plan
    Doctors Plan HMO
    Doctors Plan Plus
    Dual Complete (HMO POS DSNP)
    Dual Complete (PPO DSNP)
    Dual Complete Choice (PPO D-SNP)
    Dual Complete Choice Select (PPO D-SNP)
    Dual Complete LP (HMO POS DSNP)
    Dual Complete Select (HMO-POS D-SNP)
    Eaton
    Empower
    Erickson Advantage
    FedEx with Choice EPO
    FedEx with Core Essential EPO
    FedEx with Nexusaco OAB
    FedEx with Options PPO
    FedEx with Select EPO
    Freedom EPO - Tufts
    Freedom EPO/PPO - Tufts
    Freedom PPO - Tufts
    Geisinger Choice Plus
    Golden Rule Choice
    Golden Rule Choice Plus
    Group Medicare Advantage (HMO)
    Group Medicare Advantage (HMO) H4514
    Group Medicare Advantage (HMO) H4527
    Group Medicare Advantage (HMO) H5253
    Group Medicare Advantage (PPO)
    HCA Choice Plus
    HPHC Access America/CH+
    HPHC Commercial PPO
    Heritage Plus
    Kroger Choice Minus Walmart
    Kroger Choice Plus Minus Walmart
    Medica Choice with UHC Choice Plus
    Medica Choice with UHC Options PPO
    Medical Assoc Choice Plus
    Medicare Advantage Assist (HMO-POS C-SNP)
    Medicare Advantage Assist (PPO CSNP)
    Medicare Advantage Choice (PPO)
    Medicare Advantage Choice (Regional PPO)
    Medicare Advantage Choice Flex 1 & 2 (PPO)
    Medicare Advantage Choice Plan 1 (PPO/Regional PPO)
    Medicare Advantage Choice Plan 2 (PPO/Regional PPO)
    Medicare Advantage Choice Plan 3 (Regional PPO)
    Medicare Advantage Choice Plan 4 (Regional PPO)
    Medicare Advantage Patriot (HMO)
    Medicare Advantage Patriot (Hmo)(hmo-pos)
    Medicare Advantage Patriot (PPO/Regional PPO)
    Medicare Advantage Patriot (Regional PPO)
    Medicare Advantage Plan 1 (HMO)
    Medicare Advantage Plan 1 (Hmo)(hmo-pos)
    Medicare Advantage Plan 2 (HMO)
    Medicare Advantage Plan 2 (Hmo)(hmo-pos)
    Medicare Advantage Plan 3 (HMO)
    Medicare Advantage Plan 3 (Hmo)(hmo-pos)
    Medicare Advantage Walgreens (HMO CSNP)
    Medicare Advantage Walgreens (HMO Csnp)(hmo-pos CSNP)
    Medicare Advantage Walmart Flex (HMO-POS)
    Medicare Gold (Regional PPO CSNP)
    Methodist Health System Enhanced Plan (Choice Plus)
    NYU Choice Plus
    NYU Top Tier
    Navigate HMO/Navigate Balanced HMO/Navigate Plus HMO
    Navigate Plus
    Navigate/Navigate Balanced
    Nexusaco OA
    Nexusaco OAB
    Nexusaco OAP
    Nexusaco R
    Nexusaco RB
    Nexusaco RP
    Northern Light Health Choice (PPO)
    Northern Light Health Flex (HMO-POS)
    Nursing Home Plan (HMO POS ISNP)
    Nursing Home Plan (PPO ISNP)
    Nursing Home Plan 1 (HMO POS ISNP)
    Nursing Home Plan 1 (PPO ISNP)
    Nursing Home Plan 2 (PPO ISNP)
    Options PPO
    Options PPO Including McLeod
    Options PPO with Harvard Pilgrim
    Options Providers Outside Franklin County
    Passport Connect Choice
    Passport Connect Choice Plus
    Pebp PPO Network
    Qual Health Center Select Plus POS
    Select
    Select HMO
    Select Plus
    Sutter Core
    Sutter Options PPO
    Sutter Select+
    The Empire Plan
    The Villages Medicare Advantage (HMO/HMO POS)
    Universal Health Services Choice EPO
    Universal Health Services Choice Plus/Options PPO
    WI Balanced Plan (Core)
    WI Primary Care Plan (Core Essential)
    WellMed Affiliated Provider Choice Plus
    West Virgina State Employees
    Yahoo Choice Plus
  • WellCare
    Alabama Abr/Hnn (H6975)
    Arkansas/Illinois/Mississippi/South Carolina/Tennessee Imr/Hnn (H1416)
    California Rmr/Hnn (H5087)
    Connecticut/North Carolina Cmr/Hnn (H0712)
    Florida Wmr/Hnn (H1032)
    Georgia Gap/Hnn (H1112)
    Georgia Gmr/Hnn (H1112)
    Hawaii/Louisiana Zmr/Hnn (H2491)
    Illinois Qir/Hnn (H5779)
    Kentucky Kmr/Hnn (H9730)
    Maine Mer/Hnn (H6193)
    Massachusetts Mar/Hnn (H6193)
    Michigan/Ohio Mir/Hnn (H5475)
    Missouri Moh/Hnn (H9335)
    New Hampshire Nhr/Hnn (H2162)
    New Jersey Jmr/Hnn (H0913)
    New York Umr/Hnn (H4868)
    North Carolina Nsr/Hnn (H4073)
    Rhode Island Rir/Hnn (H9258)
    South Carolina Sor/Hnn (H4847)
    Texas Uar/Hnn (H4506)
    Texas Uxr/Hnn (H0174)
    Vermont Vtr/Hnn (H1862)
    Washington Qmr/Hnn (H1353)
  • Anthem Medicaid
    Anthem Medicaid
  • UnitedHealthcare Medicaid
    UnitedHealthcare Medicaid

 

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