Phone

Office Phone: 330-363-6296

Billing Questions: 330-479-8705

Office Hours

Monday - Friday: 7:30a.m. - 5:00p.m.

Answering service covers all calls after 5:00p.m.

MFM Office Location: We are located in the Aultman Hospital Physician Office Building, Suite 300.

Maternal Fetal Medicine
Aultman Hospital Physician Office Building
2600 Tuscarawas St. W, Suite 300
Canton, OH 44708


Aultman Maternal-Fetal Medicine
POB 17 Gill pt12 group w gill10 Reception9 MFM group10

Thank you for allowing us to participate in the care of your patients.

Referring to Aultman Maternal-Fetal Medicine

Thank you for allowing us to participate in the care of your patients. For complete information on Aultman MFM and the Aultman Perinatal Center, please download our brochure.

For your convenience we have included all of the information needed to initiate a referral to our practice.

Referral By Phone

You may call our office between the hours of 7:30 a.m.—5:00 p.m. to schedule a patient by phone.  Please have the patient’s demographic and insurance information available. After scheduling, please fax patient records to 330-580-6774.

Referral by Fax

Please fax a completed Requisition/Referral form along with the patient’s records, including ACOGs and copy of insurance card(s) to 330-580-6774.  Following review of the patient’s records, we will contact your office to schedule an appointment.

Referring Physician Forms

Requisition/Referral Form

Patient Instructions and Directions/Map

Additional Information

We gladly accept the following insurances: AultCare/PrimeTime, Buckeye, CareSource, Medicaid, Medicare, Paramount, and TriCare.

Patient Forms

Notice of Privacy Practices

Privacy Communication Request

Authorization for Release of Health Information

Phone

Office Phone: 330-363-6296

Billing Questions: 330-479-8705

Office Hours

Monday - Friday: 7:30a.m. - 5:00p.m.

Answering service covers all calls after 5:00p.m.

MFM Office Location: We are located in the Aultman Hospital Physician Office Building, Suite 300.

Maternal Fetal Medicine
Aultman Hospital Physician Office Building
2600 Tuscarawas St. W, Suite 300
Canton, OH 44708


Aultman Maternal-Fetal Medicine
Notice of Privacy Practices | Notice of Non-Discrimination and Language Interpretive Services