Family Medicine - Independent Practice

Where is my procedure?, What time is my procedure?, Are there any specific preparations?, Can I change the date and time?... Or any other questions
related to your already scheduled procedure.
This form is NOT for initial scheduling purposes.
If you need to schedule an outpatient procedure, please call (937) 384-4510.
Patients Name:
Your Email:
Patient's Doctor:
Physician Opportunities
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The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.