Healthcare shouldn't hurt.

MEMBER E-SIGN FORMS

E-SIGN

Save time at your first appointment.

FORMS

Please complete these required forms for yourself.

New members must complete for themselves.

This is different, and in addition, from the online enrollment.

We use Secure Adobe Sign.

Click below buttons complete and e-sign all required registration forms.

a) Please complete EACH (both buttons) of these forms (Once Per Family or Individual):

 

b) Per individual please complete these as noted:

For each adult complete these (MUST COMPLETE):

For each child under 18 years old complete these:

c) In addition, if you have Medicare coverage, complete this form:

After you enroll online, please email/call (during business hours) or email us after hours (DrB@TheBartlettClinic.com) to complete the final steps of your enrollment and set up your first appointment. Note: Membership billing period starts upon enrollment online.

Or, if you still have questions, please contact our office -- 614.600.2546

Miss a step? Need to join/enroll online?
Business wanting to enroll at least 5 employees for 10% discount?

Business Hours

Monday - Thursday 9am-5pm

Friday 9am- 12pm

Lunch closure varies on patient needs.

New patient appointments in mornings.

Appointments required.

Please leave voicemail, if doctor unable to answer call immediately. She will call you back.

Office may have delayed opening, or closure during the day for house calls.

Please note, we are accessible by  entry way stairs only.

© 2016 by The Bartlett Medical Clinic & Wellness Center.

Est. 2016

Heather Bartlett, M.D.

3630 N. High St., Suite 101 (1st floor)

Columbus, OH 43214

614.600.2546

F: 614.300.5661

Additional parking available on the street on Brevoort Road

or Northmoor Place.

View our Notice of Privacy Policy

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Direct primary care columbus ohio
Direct primary care columbus ohio

Direct primary care:

A membership based

primary care practice offering value based medical care. 

 

We do not accept any insurance to try to keep costs lower for our patients.

We are not an insurance plan.

Nothing on this site should be construed as establishing a physician-patient relationship.

Medical Emergency:

Call 911 or go to your closest emergency room.