Here at Columbus Children's Healthcare we are always accepting new patients. Regardless of whether you are sick or are simply due for a regular check-up, we are happy to welcome you to our office. We know going to the doctor can be a little overwhelming at times, so we are happy to provide you with our new patient forms ahead of time so that you can fill them out prior to your appointment and save you time during your visit.

Remember to bring a list of any medications you may currently be taking as well as any previous medical records you may want to provide. Our mission is to provide quality care to our patients, and we are happy to help you in any way we can. For more information or to request an appointment, contact us today at (402) 564-7200.

For all billing questions, call: 402-205-5632.

Section 1: Registration Forms

All new patients or patients who have not been seen in our clinic within the last 3 years must fill out the registration form before the appointment

Section 2: Policies

The following three forms must be filled out by all patients once a year.

Financial Responsibility Form

Notice of Health Information Privacy Practices & Acknowledgement of Receipt of Notice of Privacy Practices Form

Patient Consent and Authorization Form