OhioHealth Primary Care, Endocrinology & Pulmonary Physicians

Patient Forms

Welcome New and Returning Patients!

Please go to our Your Visit page to learn what to bring and find other helpful information about your appointment.

Pulmonary/Sleep

Please bring your completed New Pulmonary Patient Medical History and Personal Information Form with you to your first pulmonary appointment.
If you are seeing the physician for asthma, please also complete and bring the Asthma Questionnaire.
If you are seeing the physician for sleep medicine, please also complete and bring the Epworth Sleepiness Scale Questionnaire.

MyChart Proxy Access

If you would like another person to have access to your OhioHealth MyChart account, please complete this proxy form and bring or mail it to our office.

MyChart Proxy Form

Prepare For Your Visit

Learn about what to bring, find our patient forms and know other helpful information about your appointment.
Get visit information

OhioHealth Primary Care, Endocrinology & Pulmonary Physicians

Patient Forms

Welcome New and Returning Patients!

Pulmonary/Sleep

MyChart Proxy Access

Prepare For Your Visit

Contact Us