Patient Guide

Premier Acute Care Surgery - Apple Street is currently accepting new patients and will see you immediately, usually within 48 hours of the initial call or referral. To schedule an appointment, please call (937) 208-5055(937) 208-5055.

Any special instructions regarding your appointment will be discussed with you during the initial phone conversation.

We ask new patients to arrive 15 minutes prior to their initial appointment to complete any of the necessary forms from the list below: 

• Patient Registration Form - Adult
• Patient Registration Form - Minor
• Patient History Form
• Medical Release Form
• Verbal Communications Form
• Advance Directives Patient Education Form
• Advance Directives - Health Care Power of Attorney and Living Will

What to Expect

If you are a new patient, please be sure to bring either your medications or a list of the medications you are currently taking along with your insurance card(s). Please bring your insurance card and photo identification to your appointment. Established patients should bring new insurance card(s) when applicable

All patients should come prepared to pay any co-pays, deductibles, or co-insurances at the time of their visit.

After Your Visit or Procedure

After your visit, you will receive instructions for making a follow-up appointment. If needed, you will also receive information about prescriptions, blood work, or other orders.

You also will be given the opportunity to sign up for MyChart – an electronic medical record which allows you to review your medical information online and communicate with the team at Premier Acute Care Surgery - Apple Street through the secure website. MyChart also allows you to schedule appointments, check your current and past lab results and ask other medical questions. View the MyChart Prescription Tip Sheet to see how to request prescription refills.

If tests have been ordered, you will receive a follow-up phone call or a letter with your results.

Billing and Insurance

View the list of the major insurance plans accepted by most Premier Physician Network offices. Premier Acute Care Surgery - Apple Street accepts most of these plans.

Premier Physician Network’s customer service team is happy to answer any questions about billing and insurance you may have. Find detailed billing and insurance information in the Premier Physician Network billing section.