The Ohio State University Wexner Medical Center offers preregistration to help make things easier when you arrive at the hospital. Preregistrations should take only 10 minutes of your time.

For information, call us at 614-293-8200 between the hours of 8 am and 5 pm Monday - Friday.


Preregistration Form

Reason for Visit
Registration Form
In Case of Emergency & Next of Kin
Employer and School Information
Physician Information
Insurance and Billing Information
Insurance Coverages (Copayments)
If you have Medicare, answer the following
Additional Coverage