Worthington Wholistic Health Center
  • Home
  • Location
  • Fees and Insurance
  • Schedule an Appointment
  • Forms
  • Our Providers
  • Links

Worthington Wholistic Health Center

  • Home/
  • Location/
  • Fees and Insurance/
  • Schedule an Appointment/
  • Forms/
  • Our Providers/
  • Links/

Worthington Wholistic Health Center

Forms

Worthington Wholistic Health Center

  • Home/
  • Location/
  • Fees and Insurance/
  • Schedule an Appointment/
  • Forms/
  • Our Providers/
  • Links/

Patient History Forms

The links below lead to our new patient intake forms. Please complete the form and submit before your first appointment.

New Patient Information Form

New Infant Patient Information

Auto-Accident Information and Patient History

Returning Patient Form

Health History for Massage Clients

Additional Forms

You may need one of these forms to authorize a conversation between Dr. Marraffa and another healthcare provider. In addition, the Request for Records allows Dr. Marraffa to access your previous health records. 

Patient Request for Records

Release of Information

  • Home/
  • Location/
  • Fees and Insurance/
  • Schedule an Appointment/
  • Forms/
  • Our Providers/
  • Links/

Worthington Wholistic Health Center

Worthington Wholistic
Health Center

881 High Street
Worthington, OH 43085



Office Hours
Monday: 8:30 am - 6:00 pm
Wednesday: 8:30 am-3:30 pm
Friday: 8 am - 12 pm
Saturday: 9 am - 12 pm
(2nd and 4th Saturday of the month)

Massage is available every Saturday.

Please check the schedule page.




Contact Info
Phone:  614-847-1100
Fax:  614-847-9200
Email:  info@wwhc.com or . Leisl@wwhc.com