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Patient Forms

Click on the description below that best suits your situation. These links will take you to a list of forms that may help to make your visit more streamlined. If you are unclear as to which forms you may need to complete before your visit, feel free to contact us and we'd be happy to guide you!
 

Scheduled Procedure Forms
I have scheduled a Dexa Bone Density test at BVMA.
I have scheduled a Colonoscopy with a BVMA provider.

I have scheduled an Upper Endoscopy with a BVMA provider.

I have a scheduled
Cardiolite
Stress Test at BVMA.

I have a scheduled Lexiscan Cardiolite Stress Test at BVMA.

New Patient Forms

I am a new patient at BVMA and have never seen any BVMA provider before.

I am a new patient at BVMA and have never seen any BVMA provider before. I will be seeing a provider at the Bluffton Campus.

I am a new patient at BVMA and have never seen any BVMA provider before. I will be seeing a Dermatology provider.

I am an existing patient at BVMA, but I will be seeing a Dermatology provider for the first time.
 
Records Transfer Forms
I want copies of my BVMA records sent to another provider/facility.
I need to obtain copies of medical records from a non-BVMA provider to add to my BVMA health record.
I need to obtain copies of medical records from a non-BVMA provider to add to my BVMA health record. 
(Dermatology specific).











 


Location:
200 West Pearl Street
Findlay, Oh 45840
Hours:
Mon - Thu 8a.m. to 5p.m.
Friday 8a.m. to 4p.m.
Contact Us:
419-424-0380
1-800-890-BVMA (2862)