Third Street Family Health Services - Behavioral, Dental, Medical, OB/GYN, Podiatry, Pediatrics, Suboxone, 44906, 44875

We provide Behavioral Health, Dental, OB/GYN, Women's Care, Medical, Pediatrics, and Podiatry. We have ten locations and all can be found in Mansfield, Ontario, and Shelby, Ohio. Our main location is located at 600 West Third Street, Mansfield, OH 44906.

Dental Resources

New Patients

Welcome to TSFHS Dental. In order to prepare for your first appointment with us, here is some basic information and forms to have ready:

General Information

  • For your first appointment, you should expect to be here for up to 2 hours. However, if you can manage to bring in the completed forms below, that time will be greatly reduced.
  • Your first appointment will establish you as a new patient. Subsequent appointments will be made for care from one of our providers.

Items Needed at First Appointment

  • Social Security Number
  • Shot Records (Children)
  • Identification (Drivers License, State ID Card, Social Security Card)
  • Letters of Court-Appointed Custody or Guardianship, If applicable
  • Medication List or Pill Bottles
  • Insurance Card
  • If no Insurance, Proof of Household Income will be required to apply for Sliding Fee:

Proof of Household Income Includes:

You must bring in ALL items that apply to your house-hold

  • Proof of Alimony
  • Pay Stubs for the Past 30 Days
    • We will NOT accept bank statements.
    • We will NOT accept W2′s as proof of income.
  • Unemployment or Workers Compensation award letter or check stub
  • Social Security, Disability, or Retirement award letter
  • Veteran’s Benefits
  • Pension check stub or award letter
  • Letter from Employer
  • ADC Income
  • Letter from anyone providing you with financial support, this includes housing and food
  • If the patient is self-employed – full tax return with schedule C

Downloadable Forms

Emergency Care Hours

We will see patients on an emergency care basis on Monday – Thursday; 8AM-2PM, and on Friday from 8AM-Noon. Please note there is a minimum of $30 due at time of services in order to be seen.

Useful Resources

Drool is Cool series: http://www.deltadentalmi.com/Individuals/Wellness/Oral-Health-Resources/Oral-Health-Videos.aspx

Dental Resources

New Patients

Welcome to TSFHS Dental. In order to prepare for your first appointment with us, here is some basic information and forms to have ready:

General Information

  • For your first appointment, you should expect to be here for up to 2 hours. However, if you can manage to bring in the completed forms below, that time will be greatly reduced.
  • Your first appointment will establish you as a new patient. Subsequent appointments will be made for care from one of our providers.

Items Needed at First Appointment

  • Social Security Number
  • Shot Records (Children)
  • Identification (Drivers License, State ID Card, Social Security Card)
  • Letters of Court-Appointed Custody or Guardianship, If applicable
  • Medication List or Pill Bottles
  • Insurance Card
  • If no Insurance, Proof of Household Income will be required to apply for Sliding Fee:

Proof of Household Income Includes:

You must bring in ALL items that apply to your house-hold

  • Proof of Alimony
  • Pay Stubs for the Past 30 Days
    • We will NOT accept bank statements.
    • We will NOT accept W2′s as proof of income.
  • Unemployment or Workers Compensation award letter or check stub
  • Social Security, Disability, or Retirement award letter
  • Veteran’s Benefits
  • Pension check stub or award letter
  • Letter from Employer
  • ADC Income
  • Letter from anyone providing you with financial support, this includes housing and food
  • If the patient is self-employed – full tax return with schedule C

Downloadable Forms

Emergency Care Hours

We will see patients on an emergency care basis on Monday – Thursday; 8AM-2PM, and on Friday from 8AM-Noon. Please note there is a minimum of $30 due at time of services in order to be seen.

Useful Resources

Drool is Cool series: http://www.deltadentalmi.com/Individuals/Wellness/Oral-Health-Resources/Oral-Health-Videos.aspx

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Third Street Family Health Services is a FTCA Deemed facility

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