Online Forms

Integrated Health Center L.L.C. offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReaderĀ® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Patient Forms- Required
New Patients & Returning Patients

This provides all the basic information we need in order to begin your care! Returning patients also need to periodically update this information. If it has been more than 6 months since your last visit, bring it in to your next appointment!

Loudonville Paperwork

Danville Paperwork

Granville Paperwork



Office Hours

Our Regular Schedule

Loudonville Office

Monday

9:00 am - 6:00 pm

Dr. Rod 9:00 am to 12:00 pm

Tuesday

Closed

Wednesday

9:00 am - 6:00 pm

Dr. Rod 9:00 am to 12:00 pm

Thursday

Closed

Friday

9:00 am - 1:00 pm

Saturday

9:00 am - 12:00 pm

Sunday

Closed

Danville Office

Monday

Closed

Tuesday

9:00 am - 6:00 pm

Wednesday

Closed

Thursday

9:00 am - 6:00 pm

Friday

Closed

Saturday

Closed

Sunday

Closed

Granville Office

Monday

Closed

Tuesday

9:00 am - 6:00 pm

Wednesday

Closed

Thursday

9:00 am - 6:00 pm

Friday

9:00 am - 5:00 pm

Saturday

Closed

Sunday

Closed

Loudonville Office

Monday
9:00 am - 6:00 pm Dr. Rod 9:00 am to 12:00 pm
Tuesday
Closed
Wednesday
9:00 am - 6:00 pm Dr. Rod 9:00 am to 12:00 pm
Thursday
Closed
Friday
9:00 am - 1:00 pm
Saturday
9:00 am - 12:00 pm
Sunday
Closed

Danville Office

Monday
Closed
Tuesday
9:00 am - 6:00 pm
Wednesday
Closed
Thursday
9:00 am - 6:00 pm
Friday
Closed
Saturday
Closed
Sunday
Closed

Granville Office

Monday
Closed
Tuesday
9:00 am - 6:00 pm
Wednesday
Closed
Thursday
9:00 am - 6:00 pm
Friday
9:00 am - 5:00 pm
Saturday
Closed
Sunday
Closed

Locations