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1661 Holland Road, Maumee, OH 43537 Suite #100 | (419) 794-1105
Pulmonary & Critical Care Specialists
  • Our Team
  • Services
  • Patient Portal
  • Hospital Affiliations
  • Patient Information
    • Insurance
    • New Patient Paperwork
  • Contact Us
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  • Our Team
  • Services
  • Patient Portal
  • Hospital Affiliations
  • Patient Information
    • Insurance
    • New Patient Paperwork
  • Contact Us
  • Toggle website search

New Patient Paperwork

If you are a first-time Pulmonary & Critical Care Specialists patient, please print and fill out the “Patient Forms” below and bring them with you to your first visit. This will shorten your wait time and will help us when entering your information. 

New Patient Packet

Patient Account Information

CONTACT

Call: (419) 794-1105
Email: [email protected]

OFFICE

1661 Holland Road #100
Maumee, Ohio 43537

Click here to view a map of the building

HOURS

Monday-Friday
8am – 4pm

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