Policies/Forms

Forms
Please complete the New Patient Packet and include a photocopy of any current insurance cards.

When the form is completed, please mail or fax to our office at:

At Your Door Visiting Healthcare Services
314 Agler Road
Gahanna, OH 43230
Fax: 614-245-4389

Policies
HIPAA Privacy Policy – How At Your Door Visiting Healthcare may use and disclose health information.

Billing
We accept most health insurance plans, and as a courtesy we will submit the patient’s claims to the carrier directly. Because we are unable to keep up with the vast array of medical plans and what each one offers, it is the patient’s responsibility to notify our office in advance if a procedure or visit to a specialist needs a referral.

Any co-payment and any unpaid balances will be billed to the patient or power of attorney.
Self-pay patients are expected to pay the full amount of the visit at the time of service.