New Patient Forms

Our staff consists of trained, experienced individuals whose goal is to assist you. Contact our nursing staff with any medical concerns you may have. Our clerical staff will be glad to assist you with insurance, billing and appointment concerns.

Doctors accepting new patients:

Dr Rebecca Adams
Dr Jacob Jones
Dr Adam Houg
Dr Kristen Pollock
Melisa Keuneke, FNP-C

Forms need to be completed to apply to become a patient at V.W.F.P.

If you are interested in becoming a new client of our Clinical Psychologist, Dr. Elizabeth Adams, please call our office at 419-238-6251.

Click on EACH button below to complete BOTH forms to apply to become a New Patient.

You will be notified by our office within two weeks.