• About Us
    • Our Services
  • Meet Our Staff
    • Cardiology
    • Dermatology
    • Endocrinology
    • Internal Medicine
    • Podiatry
    • Pulmonary Medicine
    • Physical Medicine and Rehabilitation
    • Clinical Pharmacy
  • For Our Patients
    • Pay My Bill
    • Access the Patient Portal
    • Take our Patient Experience Survey
    • At Your Visit
    • Billing And Insurance
    • Missed Appointment Policy
    • Prescription Management Information
    • Directions
    • Privacy Policy
    • Ohio Immunization Tracking
  • Employment Opportunities
    • BVMA Employment Application
  • Forms
    • Patient Forms
    • Patient Referral Forms
  • Contact Us
  • Employee Login

Patient Forms & Information Sheets

New Patient Forms

  • Patient Intake Form
  • Medical History Form


Medicare
Annual Wellness Visit

  • Annual Wellness Visit Health Risk Assessment

New Patient Information

  • New Patient Welcome Letter

  • Dermatology New Patient Welcome Letter

  • Directions to BVMA

  • Financial Policy

  • Screening Guidelines

  • Notice of Privacy Practices

Medical Records Transfers

  • Record Release From BVMA

  • Record Release to BVMA from another Provider

Medical Procedure Info

  • Dexa Bone Density Test
  • Cardiolite_Sestamibi Stress Test Patient Instructions
  • Lexiscan_Regadenson Cardiolite Stress Test Patient Instructions
  • Treadmill Stress Test Patient Instructions

Department of Transportation (DOT) Physicals

  • DOT Medical Examination - Commercial Driver Fitness Determination
  • Medical Examiner's Certificate
Location:
200 West Pearl Street
Findlay, Oh 45840
Hours:
Mon - Thu: 7am to 5pm (Phones on 8am to 4:30pm)
Fri: 8am to 4pm (Phones on 8am to 3:30pm)
Contact Us:
419-424-0380