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Gem City Surgical Breast Care Center

Patient Guide

Appointment/Procedure Preparation

We are currently accepting new patients. To schedule an appointment, please call our office at (937) 832-9310.

Any special instructions regarding your appointment will be discussed with you during the initial phone conversation.

What to Expect

Once you have scheduled your appointment with us, we will be mailing you a Patient Registration Form and a Health History Questionnaire to complete prior to your appointment. These forms are also available to download if you would like to fill them out in advance. This will help expedite your appointment. Please complete these forms in their entirety and bring them, along with your insurance cards, to your appointment.

In addition, you may be asked to complete a Medical Records Release Form, which allows our office to obtain medical records from your previous doctors.

What to Bring

Please bring your insurance card as well as a photo ID and list of current medications. Be sure to check with your insurance company about coverage for any service you will be receiving.

All patients should come prepared to pay any co-pays, deductibles, or co-insurances at the time of their visit.

After Your Visit or Procedure

You will receive information about your procedure and how to take care of yourself. If you have any questions, call (937) 832-9310 for a follow-up visit.

If you have billing questions, please call (937) 991-3100.

Billing and Insurance

Premier Physician Network's customer service team is happy to answer any questions about billing and insurance you may have. Find detailed billing and insurance information in the Premier Physician Network billing section.