Call (614) 792-5200 extension 3

Please provide the following information:

Patient name
Date of birth
Phone number
Medication name, strenth, quantity and how it is taken
Pharmacy name, location and phone number

For all prescriptions you must be seen within 12 months or per Dr discussion
all rx prior authorizations take 1 week to process
Please allow 48 hours for prescription refills.

Thank you!

Unsure About Insurance?

We participate with many insurance carriers including:
  • Aetna (exept Bronze)
  • Anthem BCBS (except Pathway)
  • Cigna
  • PHCS (most plans)
  • OhioHealth (most plans)
  • Medical Mutual (except HMO or Advantage Choice)
  • UHC (except Navigate, Core, Compass, Charter, Choice HMO, Select HMO)
We do not accept Medicaid, CareSource, Tricare, Government Health Care Programs Plans or any new Medicare patients.

Questions regarding insurance or specific plans, please contact your insurance.

If during the course of treatment, your benefits change, the financially responsible party is accountable for ALL changes. Please let us know of any changes in your health insurance, so we can deal with it in a timely and accurate manner.


Referral to specialists are an important part of the health care process. We at Summerhill Family Medicine have an extensive network of quality referral physicians. When a referral is initiated through our office we verify network physicians and complete the needed prior authorizations.

If you have referral questions please call our referral specialist at (614) 792-5200 extension 5.
We may also accept other plans so please check with us for details if your carrier is not on this list.