830 West High Street, Suite 101, Lima, Ohio 45801

(419) 227-0610 | (800) 686-4096 | Fax:(419) 228-3273


HOURS: Mon.–Thurs. | 9:00 AM – 5:00 PM
Fri. | 9:00 AM – 4:30 PM

Download OB Forms

New Patient Packet

Click the button below to download a PDF of all new patient forms.


Patient Satisfaction Survey

  • Strongly AgreeAgreeSomewhat AgreeDisagreeStrongly Disagree
    I was greeted and felt welcomed when coming to the office for my appointment.
    At this office, I feel my time is valued as much as the doctor’s time.
    On average, I spend a reasonable amount of time waiting for my appointment.
    I feel valued and important to the staff and care providers.
    The staff works hard to schedule appointments that are timely and convenient for me.
    My nurse was friendly and considerate while getting me ready for my appointment.
    In general I am able to fully explain how I’m feeling to my doctor or physician assistant.
    My doctor/PA usually asks me enough questions for me to thoroughly communicate what’s happening with me.
  • Please feel free to share your comments, concerns or complaints.
  • This field is for validation purposes and should be left unchanged.
Share Button