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  Patient Information

 

Patient Registration Form:

You will be required to fill out the patient registration upon arrival or ahead of time by downloading it here from our site.  Please arrive at least 10-15 minutes before your scheduled appointment time to allow for this task.

 

Appointment and Scheduling Policy:

Your appointment time is reserved just for you.  If you are unable to keep your appointment, please let us know 24 hours in advance so that we may schedule a new time for you.  We will attempt to reach patients by telephone at least two days before their scheduled appointment.  It is crucial we have a current phone number in our records.  If you do not have a telephone or we do not reach you, we ask that you contact us to confirm your scheduled appointment.

 

If we are unable to confirm your appointment at least 24 hours prior to the appointment date, YOUR APPOINTMENT WILL BE CANCELLED. 

 

If you fail to attend your confirmed appointment, you will NOT be rescheduled for future appointments and this information will be reported to the Indiana Health Coverage Program and you may risk losing your Medicaid benefits. 

 

Call today to schedule an appointment!  (812) 437-4746

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