Click links below to download each form: Note to New Patients Please read before your first appointment at our office. 2010 Office Guidelines Print, sign, & bring with you on your visit to our office. Consent to Treatment Print and complete form for consent to medical and/or surgical treatment. Patient History Print, complete, & bring with you on your first appointment at our office. Patient Information Print, complete, & bring with you on your first appointment at our office. HIPAA Form Print and complete HIPAA form to request a restriction on uses and disclosure of your protected health information. Authorization to Release Health Information Print and complete form for authorization to disclose medical information for further health care.

Georges T. Jabaly, MD, MSBS Dr. Jabaly is a Board-Certified Family Practice Physician, Diplomate with the American Academy of Family Physicians and holds a Masters Degree in Biomedical Science. He has been in medical practice for the past 20 years.

The doctor is also a member of the American Medical Association, Toledo Academy of Medicine, Ohio Medical Association, National Arab-American Medical Association, Syrian-American Medical Association, and serves as President of the non-profit organization; "Terre Des Hommes, USA."

Dr. Jabaly is affiliated with the following hospitals:

St. Anne St. Vincent

Toledo Flower

Your complete care is the primary goal: "I am looking forward to providing you with the best health care and service possible."

You can see many doctors and do many tests... it is more important to see a doctor who is going to really give you a complete, honest checkup and order what is really needed.