Medical Forms

We want to make your registration at any IHA urgent care as easy as possible. For your convenience, you may download and complete the Patient Registration form prior to coming to the urgent care. You will also find a copy of your Notice of Privacy Practices and commonly used forms for the Bureau of Worker's Compensation and Ohio High School Athletic Association.

Welcome to IHA

Immediate Health Associates is an Employee Owned Company, striving to provide prompt and professional health care in our four urgent care locations and the emergency department at Mount Carmel St. Ann's.

We began as a simple partnership of emergency room physicians. We grew into a multidisciplinary organization that strives to provide the best possible immediate health care to a diverse and complex clientele while maintaining our focus on remembering that you--our patient--is our entire reason for being.

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Contact Us

Immediate Health Associates

*Please note this location is not an urgent care facility.

Online Payment

Please select the site where you
received service:

To discuss a patient account or to request billing information please call the billing department. Please have your patient account number on hand.

Healthcare Management Associates
Hours:Mon. - Fri. 9:00 a.m. - 3:00 p.m.
                        (Excluding major holidays)

We accept Visa and Mastercard payments over the phone at no additional cost.

For billing inquiries please use this form so we can better assist you:
Enter Your Name:
Enter Your Patient Account Number:
Enter Your Phone:
Enter Your Message:
What day is today?: