New Patients

At Ohio Hills, we offer a Sliding Fee Scale. If you qualify, services will not be denied due to your inability to pay.

Learn more

 

Below are forms to help you get started, simply print and fill them out and return to your local OHHS office. 


Consent for Treatment and Payment Agreement (PDF)
Sample Consent
MSP Questionnaire (Long Form) (PDF)
MSP Questionnaire (Short Form) (PDF)
Patient Contact Form (PDF)
Patient Demographic Form (PDF)