About Your Appointment

Registration

At each visit you will check in with the receptionist. Please inform us of any changes in your personal information as well as any changes in your insurance. We will need to copy your insurance card(s).

The Registration Form for our office will become part of your medical records. It is important that you complete all of the sections, date and sign the form. (Please bring this form with you to your first appointment. This will expedite your waiting time.)

You will also need to fill out the History Form. (Please bring this completed form with you to your appointment.)

Download, print and complete the following forms. To view these files, you need Adobe Reader, a free download.

• Registration Form
  
• History Form

Insurance Filing and Payment

We are happy to file your insurance for you. We strive to process each claim accurately and efficiently. Please bring your insurance card(s) with you to each visit. It is important that you know your insurance plan's limitations. Patients whose plans have a co-payment will be required to pay the designated amount at the time of service.

Women's Health Care accepts cash, personal checks, or credit/debit cards.

Checklist of What to Bring to Your Appointment

• Insurance Cards
• Completed Registration Form
• Completed Health History Form (if requested)
• Medical Records (any pertaining to this visit)

Directions and Map to the Center

Academic Department | Residency Program
Wright State University Boonshoft School of Medicine