The Ohio State University Wexner Medical Center offers pre-registration to help make things easier when you arrive at the hospital. Pre-registrations 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.


Pre Registration 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