Clinic Forms

  • Immunizations may be available on a sliding fee scale (child immunization slides could reduce the cost to $0)
  • Accepts ALL  Medicaid Plans
  • Medicare Part B (HMO plans not accepted)
  • Accepted Private Plans:  Aetna, Anthem, CareSource (market place plan), Cigna, Medical Mutual, TriCare, United Healthcare, UMR, Golden Rule, Humana, Ohio Health Choice Plans, OhioHealth Group Plans
  • If you do not see your insurance listed, please call and ask
  • Accepted forms of payment: cash, check, debit cards and credit cards (A transaction fee is charged for debit and credit transactions).