Kettering Health Network (ketteringhealth.org)
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Your First Visit

We understand that your first visit can be stressful. Our goal is to make you feel at ease and we look forward to helping you reach your full potential.

Please bring the following items with you on your first visit:

  • Your most recent health insurance card(s)
  • A photo ID

Prior to your first visit, please fill out the following forms:


If the reason for your visit is a driving evaluation, please only fill out the following forms:


Optional Forms:
If you are experiencing problems with feeling dizzy, please also fill out the following: