Patient Info
The following forms are in pdf format. Please complete and print the appropriate form(s) and bring it/them to your scheduled appointment. If you have a the latest pdf reader installed on your computer, you may complete this form online. To get the latest reader, click here.
Adult Patient Registration Form 
--please complete, print and bring this form to your appointment.
Child/Adolescent Patient Registration Form
--please complete, print and bring this form to your appointment.
Notice of Privacy Practices
--please review this document.
Privacy Practices Acknowledgment
--please complete, print and bring this form to your appointment.
For questions regarding this form, please contact our office at: 317-573-4250
Office Locations
9240 N. Meridian St. Ste 260
Indianapolis, IN 46260
11530 Allisonville Rd, Ste 100
Fishers, IN 46038