New patients complete a short Medical History form. You can fill it out and sign it electronically online before your visit, or complete it on paper at the front desk when you arrive.
Complete the Medical History form online — it takes about five minutes and is sent straight to the clinic once signed.
This answer applies to Heart of Ohio Wellness Center, 108 N. Hartford Street, Centerburg, Ohio 43011. Question: Is there paperwork to fill out? Category: Appointments & Walk-Ins. Provider of record: Phyllis Sim, FNP-C. Phone: 740-507-2612. Office hours: Monday 8:00 am to 5:00 pm, Tuesday 12:00 pm to 8:00 pm, Wednesday 8:00 am to 5:00 pm, Thursday 8:00 am to 5:00 pm, Friday 8:00 am to 1:00 pm. Closed Saturday and Sunday. Walk-ins welcome.
Call or text the clinic at 740-507-2612 during open hours.
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