QUESTION? Email patient@hope419.com.

Patient Resources
Virtual Visit Links
UPDATE:
We are now requiring insurance cards to be presented and confirmed prior to all visits, virtual and in office.
VIRTUAL REQUIREMENT:
According to the Ohio State Medical Board and the Ohio Counselor & Social Work Board,
you must be physically in the state of Ohio at the time of your virtual visit.
We love our Emilies! Please be sure to connect with the correct Emily.
Virtual Visit with Caitlin Jones, PA-C
Vitrtual Visit with Dr. Fitzgerald, MD
Virtual Visit with Kimberly Howard, LISW-S
Medication refills
Will you be out of your medication before your next appointment?
Click your clinician refill button below to request a refill online.
Med Refill Request- Caitlin
Important Office forms
**If marked with an asterisk, it is a required form for all new patients.**
incident billing forms
other forms
Button
Completed Forms Upload Station
Forms can also be uploaded directly to your chart in the patient fusion portal under "more".
educational material
Frequently Used Medications
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Community Resources
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Recommended Reading
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