Forms

Please complete the New Patient Packet.

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

At Your Door Visiting Healthcare Services
102 W. Main St. #175
New Albany, OH 43054

Policies

We ask that you notify the office at least 24 hours in advance should you need to reschedule or cancel your appointment. Failure to do so may result in a $50.00 no show fee. We do charge a fee of $30.00 for filling out forms.

The fee is to be paid when dropping off the forms and we have a 10 day turnaround time for form completion. Payment must be made in cash or check.  We also charge for copying medical records. Should you wish to transfer your care or need a copy, please contact us directly.

HIPAA Privacy Policy – How At Your Door Visiting Healthcare may use and disclose health information about you. HIPPA Privacy Policy document

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

Your co-payment and any unpaid balances is expected at the time of check in for your appointment.
Self-pay patients are expected to pay the full amount of the visit at the time of service.

We also accept VISA and MASTER CARD.

Be sure to arrive early in case there are any forms that need to be filled out.