Health Screening Registration
Please use this form to schedule and make a donation toward IWF health screening. Your donation helps defray the cost to the IWF for each test. If you are only scheduling EKGs without auscultation, please use our other Health Screening Registration form.
You will be contacted with your scheduled time, and if we need additional information.
If you have any questions, please email Frances Abrams at firstname.lastname@example.org or call her at 937-371-3609.
PLEASE ENTER PAYMENT INFORMATION ON THE NEXT SCREEN