New Patients

We welcome new patients to University Club Medical. For your convenience, please open the link below and download, complete and bring the intake forms with you at the time of your first visit.

download new patient intake formsintake forms
(opens in a new window)

Patient Reference Websites:

- mdvip.com
- clevelandclinic.org
- mayoclinic.org
- cdc.gov
- covidactnow.org
- Dr. Mark A. Scheperle, MD - drmarkscheperle@mdvip.com

CDC Self Checker: