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 hello@elizabethcummins.com. 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)

Location
50 Lazelle Rd E, Columbus, OH 43235
Hours
Monday-Thursday, 8 AM – 4 PM
Phone
(614) 888-0800
hello@elizabethcummins.com
