If you are new, you must complete the Intake form in its entirety before your appointment.
Step 1: Click the button above to fill out your forms securely via IntakeQ.
Step 2: Our team will initiate your insurance review.
Important Deadline: For same-day scheduling, your completed form must be submitted by 2:00 PM. This ensures your insurance benefits are fully verified before you are seen.
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If you are unable to access your portal, or need assistance, let us know how we can support you by filling out the contact form.
Contact us.
Hello@NewHeartMHW.com
(419) 855-2707
164 West Water Street
Oak Harbor, Ohio, 43449
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