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FORMS

Three Simple Steps to Prepare for Your Office Visit 

1

Complete following forms and bring them to your office visit:

2

Be sure to bring the following to your office visit:

Insurance Card

Co-Payment (if applicable)

Driver's License

3

Read the following information prior to your office visit:

CONTACT US

Gastro Health - Springfield (Clinic)

Derr Medical Building

2355 Derr Road, Suite A
Springfield, OH 45503

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Phone: 937-629-0100

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Fax: 937-629-3285

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Office Hours

Monday - Thursday: 8:00am - 5:00pm
Friday: 8:00am - 4:00pm

DIRECTIONS

2355 Derr Road, Springfield, OH

Gastro Care (Surgery Center)

2355 Derr Road, Suite B
Springfield, OH 45503

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Main Phone: 937-629-3600

Billing Phone: 937-398-1964

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Fax: 937-629-3601

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Office Hours

Monday - Friday: 7:30am - 4:00pm

SEND US A NOTE

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© 2022 Springfield Gastroenterology | Now Gastro Health

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