FORMS
New Patient Paperwork
To facilitate your visit, you can download our new patient forms by clicking on the links below. Fill them out and then fax them to us (317-578-9797) or bring them with you to your first visit.
Registration Form
Patient/Insurance Form
HIPAA (Health Insurance Portability and Accountability Act) Form 1
HIPAA (Health Insurance Portability and Accountability Act) Form 2
The forms are in PDF format and can be opened using Adobe Acrobat Reader. If you don't have this program, you can download it for free from
Adobe
.