Patient Tools & Resources - Wilmington, OH

Wilmington Medical Associates understand the importance your health is to you and your family. We want to provide you with the tools and resources necessary to prepare for your visit. Below you will find online patient forms and information. Please review and fill out paperwork at your earliest convenience and contact our office with any questions.


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Private Practices

For your assurance, review our information and forms about:

Medical Record Release
Minor Consent
Notice of Privacy Practices
Acknowledgement of Receipt


For your convenience, our providers are contracted with most insurance and managed care plans. We suggest you review the benefits offered by your individual plan prior to medical care. Many insurance plans require that we collect a co-payment for patient appointments and services.

If you do not have insurance coverage, it will be necessary for you to pay for your services at the time of your visit. We accept cash, personal checks, Visa and MasterCard. Our friendly billing staff is available to assist you with your insurance concerns during office hours by calling (937) 382-1617.

Patient Forms

Print any of the forms you may need below:

Payment Policy
Self Pay Agreement
WMA Mission Vision Values

Patient Guidelines

For additional information or concerns, please call Wilmington Medical Associates at 937-382-1616 / Main Office or Wilmington Medical Pediatrics (937) 382-7168.