How We Can Help You

We are excited you have chosen Worthington Foot & Ankle for your foot and ankle needs. Please see the attached information regarding our insurance plans we accept as well as our online paperwork. You can print the paperwork and bring to your appointment to save yourself time. Look around the website and come equipped with questions! We look forward to helping you.

Intake Form

Adjustable Intake Forms

Accepted Insurance Plans

We take many insurance plans. There are some we still are not contracted with, however, we will work with you and your insurance in that case. Please feel free to contact us with questions.

Insurances we currently take include, but are not limited to:

Medical Mutual
Mutual of Omaha
Ohio PPO Connect
Tricare (Champus)
United Health Care


Have further questions regarding insurance coverage, first visit requirements or how to set up your first visit? Contact Worthington Foot & Ankle today!

Contact Us

Notice About Nondiscrimination and Accessibility Requirements in Our Office: Appendix A to Part 92—Sample Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Sample Nondiscrimination Statement: Discrimination is Against the Law Worthington Foot & Ankle LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.  Worthington Foot & Ankle does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Worthington Foot & Ankle LLC: Provides free aids and services to people with disabilities to communicate effectively with us, such as: ○ Qualified sign language interpreters ○ Written information in other formats (large print, audio, accessible electronic formats, other formats) Provides free language services to people whose primary language is not English, such as: ○ Qualified interpreters ○ Information written in other languages If you need these services, contact Celeste Davis , Office for Civil Rights. If you believe that Worthington Foot & Ankle LLC has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Celeste Davis,Office for Civil Rights, 233 N Michigan Ave. Suite 240  Chicago, IL.60601 Phone#: (800)368-1019, TDD: (800)537-7697 Fax# 202-619-3818 You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Celeste Davis, Office for Civil Rights] is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at