Our practice is working together to realize a shared vision of uncompromising excellence in wound healing.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
New Patient Forms
As a new patient, we request you to complete the forms below in their entirety.
You will be required to pay your co-payment when you arrive at the office. No services will be rendered, if you do not have both your current insurance card and your co-payment. We accept payment in the form of cash, check, or credit card. Returned checks will be subject to a $30.00 return fee. It is your responsibility to verify our participation with your insurance plan and that of any ancillary providers prior to your visit. Minors, under 18, by law, must be accompanied by an adult.
You may print these forms by clicking on the Printable Forms link and completely filling them out prior to your visit. If you are unable to print these forms, please call our office at 614-885-3338 and we will be happy to mail, fax or email them to you.
You can also choose to come to the office, 15 minutes prior to your appointment to fill them out.
Please make sure to have your insurance card and identification. Your participation will enable us to remain on time for scheduled appointments. Thank you in advance.
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
Does This Mean I Have to Change Doctors?
Not at all. The Total Healing Wound Center works with your personal physician in the same way as we would any medical specialist. We keep your doctor informed on all aspects of your treatment with frequent progress reports. While you’ll be receiving treatment for your wound from The Total Healing Wound Center you’ll continue to receive all of your routine care from your physician.
Does Insurance Cover Treatment?
Many health plans cover The Total Healing Wound Center treatments. We can help you determine what your specific plan covers.
What Can I Expect at the First Appointment?
The first appointment consists of an in-depth assessment by our wound care team, a review of your medical history, blood tests or additional tests if needed, and recommendations for your treatment plan. Please bring your medical records, insurance card, a list of all medications you are taking, and a list of allergies you may have to the first appointment. Expect to spend a few hours at the Center.
If you have additional questions or wish to schedule an appointment, call (614) 885-3338.