Medical History Forms

Please print and complete this medical history form and bring it to your office:

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Helen Torok, MD

Leonard J. Torok, MD

Bryan Baillis, MD

Robert Marsico Sr., MD

Matthew Reedy, MD

Joshua Weaver, MD

Jenna Benchek, PA-C

Gabriella Furfari, PA-C

Jordan Goad, PA-C

Francine Johns, PA-C

Leah Kelly, PA-C

Sarah Michalak, PA-C

Molly Verhoff, PA-C

Monica Alexis, RN

Megan Heiby, RN

Michelle Koenig, RN

Michelle Telloni, RN

Medina: 5783 Wooster Pike

Wooster: Milltown Professional Building
128 E. Milltown Road, #208

Wadsworth: 300 Weatherstone Drive, #106

Brunswick: 2865 Center Road, #5

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