Generations Program Registration

Health Library

Community Education

Community Programs

Location Finder

Here's your guide to finding any of the facilities in the Aultman family of health services, including maps and contacts.

Need a Doctor?

Aultman Medical Group's network of more than 140 medical professionals is committed to high-level patient care.

Schedule an Appointment

Call 330-363-6288 or click below to complete an online form.

Donate Today

You can help support and enhance services, and in turn, help patients and their families who benefit from care received at Aultman.

Generations Program Registration

Please complete the following form to join the Generations program.

Title

Mr.
Mrs.
Ms.

First Name

Middle Initial

Last Name

Address

City

Zip (9-digit if known)

Phone

Email Address

Date of Birth (dd/mm/yyyy)

Spouse's Name, if you would both like to enroll

Spouse's Date of Birth (dd/mm/yyyy)

Have you ever been an Aultman patient?

Has your spouse ever been an Aultman patient?

Please indicate whether or not you would like to receive communication, correspondence and/or survey materials by checking the appropriate box below. There is no obligation to participate in marketing or survey efforts solely because you are a member.

Yes, please send me survey information and emails about Aultman Hospital's products and services. I understand that I may opt out of these communications at any time by contacting 330-363-6262.
No, I am not interested in receiving survey information and emails about Aultman Hospital's products and services. I understand that declining to receive these communications has no impact on my GENERATIONS membership status.

Location Finder

Here's your guide to finding any of the facilities in the Aultman family of health services, including maps and contacts.

Need a Doctor?

Aultman Medical Group's network of more than 140 medical professionals is committed to high-level patient care.

Schedule an Appointment

Call 330-363-6288 or click below to complete an online form.

Donate Today

You can help support and enhance services, and in turn, help patients and their families who benefit from care received at Aultman.

Schedule an Appointment

Aultman Wait Times

Health Library

Community Education

Community Programs

Generations Program Registration