Your first step on the path to wellness starts here

Complete the form below to schedule your appointment and get started.

let’s get started

Complete the form with your preferred time and day of the week to schedule your first appointment.  We’ll follow up within two business days to finalize the booking.

Please note we are no longer accepting obstetrics appointments. 

Accepted Insurance

We accept the following insurance providers:

  • Aetna
  • Anthem
  • Blue Cross Blue Shield
  • Cigna
  • Golden Rule
  • Humana
  • Medical Mutual of Ohio
  • Medicare
  • Tricare / Champus
  • UMR
  • UnitedHealthcare
  • Mt. Carmel Health Plan

Patient Forms

To expedite your appointment, please come prepared with a copy of your insurance card and the following forms completed.  You can either download the digital forms, fill them out, and email them back to us at  Or you can download the printable forms, print them, fill them out, and bring them with you.

Patient Intake Form (Digitally Fillable)

Financial Policy (Digitally Fillable)

Gynecologic Assessment Form (Digitally Fillable)

Patient Intake Form (Printable)

Financial Policy (Printable)

Gynecologic Assessment Form (Printable)

I am seeking support for:

Preferred Times (check all that apply)

Preferred Days of Week (check all that apply)

cummins womens health and wellness icon


50 Lazelle Rd E, Columbus, OH 43235


Monday-Thursday, 8 AM – 4 PM


(614) 888-0800


(614) 888-0858


cummins womens health and wellness location