New Patient Intake Packet
Complete before your first visit to save time at check-in.
Downloadable version coming soon
Patient Forms
Everything you need before your visit — without the clipboard scramble.
Referral Form
For referring providers sending a patient to our practice.
Downloadable version coming soon
Medical Records Release (HIPAA Authorization)
Lets us request records from your previous providers.
Downloadable version coming soon
Printed copies of every form are available at our front desk, and our team is happy to mail or email them to you — call 219-736-2922.
Please bring a photo ID, your insurance card, and a list of current medications to your first visit.
