Become Our Patient

Pre-Registration

Capital Park Family Health Center • 2365 Innis Rd, Columbus OH 43224 • (614) 416-4325
Whitehall Family Health Center • 882 S. Hamilton Rd, Columbus OH 43213 • (614) 235-5555
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Pre-registration forms

View and print your New Patient paperwork here. We ask that you bring your completed paperwork to your first appointment. We look forward to working with you!

Consent to Treatment Form
Financial Assistance Application Form
Adult Health History Form
Patient Info Form
Pediatric Health History Form
Registration Form
Privacy Practices Form