request an appointment
follow up appointments, video visits and second opinions
If your child is an existing patient, log in to MyKidsChart to schedule directly with your provider for follow up care. If you don't have an active MyKidsChart account sign up today or fill out the request for an appointment form below.
For video visits or second opinions please complete the form below to request an appointment with one of our specialists or call us at 937-641-4000.
Note for Tricare insured patients: A referral from your physician is required in addition to completing the form.