Resources

New Patient

Planning Your Visit

Please be sure to bring your insurance card and photo identification with you to your appoinment. Many appointments require a co-pay and this is expected prior to being seen. Please fill out the registration paperwork in order to make your check in process easier.

Patient Forms

Financial Policy

Health History Form

Medical History Form

Registration Form

Statement of Release Form

New Patient Paperwork

HIPAA Privacy Practice Form

Prenatal Packet

Hereditary Cancer Questionnaire

Recommended Links

American College of Obstetrics and Gynecology for information on many pregnancy and women’s health topics.

Center for Disease Control for information on vaccinations, travel recommendations, new illnesses and up to date articles of interest.

Nice Words

From Our Patients

“Dr. Houser is the best doctor! She really cares about her patients and I felt like family. The staff is very friendly and professional. I have and will recommend this office and especially Dr. Houser to everyone! Thank you for taking great care of me.”
“Dr. Caroline Kennebeck has been my doctor for 10+ years and I wish she was my family doctor. She has been an absolute pleasure and delight. The practice in itself is very nice and I would suggest this practice to anyone.”
I love this practice! All of the doctors are amazing, however, doctor Kennebec is the best of them all! She is sweet, caring, and will explain everything that’s happening very thoroughly! She is very comfortable to talk to, it’s kind of like talking to your best friend and your mom at the same time. It makes you feel very safe and cared for 🙂

 

 

5701 Far Hills Avenue
Dayton, Ohio 45429
P: (937) 435-6222
F: (937) 438-8451