Please click here to complete the Primary Care Intake Forms if you are joining Ingenious Health & Wellness as a primary care patient. We ask that all forms are completed at least 24 hours prior to the scheduled visit. If you are coming into the office for the primary care visit, please arrive 10-15 minutes early to allow time for forms to be completed and insurance to be verified.

If the forms are not completed prior to the visit, you will not receive an appointment reminder from the practice as your information will not be in the EHR system.

Please click here to complete the Mental Health Intake Forms if you are joining Ingenious Health & Wellness as a primary care patient. We ask that all forms are completed at least 24 hours prior to the scheduled visit. If you are coming into the office for the primary care visit, please arrive 10-15 minutes early to allow time for forms to be completed and insurance to be verified.

If the forms are not completed prior to the visit, you will not receive an appointment reminder from the practice as your information will not be in the EHR system.

Please click here to assess the SPRAVATO® Treatment Referral Form and we will follow-up with the patient once all forms and documentation is received within 24-48 business hours If this is an urgent referral, please call the office at (937) 918-6174 or (833) 509-0002.

Please click here to complete the Patient Referral Form for mental health or primary care services and we will follow-up with the patient within 24-48 business hours. If this is an urgent referral, please call the office at (937) 918-6174 or (833) 509-0002.