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P: (812) 471-4302 F: (812) 471-4303

Carleen option 2 (1 for Front Desk and 2 for Nurse) off on Wednesday's and Friday's.

Shannon option 3 (1 for Front Desk and 2 for Nurse) off on Wednesday's and Friday's

Elise option 4 (1 for Front Desk and 2 for Nurse) off on Wednesday's

Tracey, Office Manager, option 6

Lab Hours:

Monday, Tuesday, and Thursday 7:00 am to 11:00 am and 1:00 pm to 4:00 pm

Wednesday-CLOSED

Friday 7:30 am to 11:00 am and 1:00 pm to 3:30 pm

Patient Paperwork

Print forms ahead of time and bring them in to your appointment with you. Please also bring your insurance card and picture ID.

Girl Eating an Apple

Please print the following for ADULT FEMALE

Female Adult Medical History
New Patient Paperwork

Medical History Form

New Patient Form

Please print the following for ADULT MALE

Male Adult Medical History
New Patient Paperwork

Medical History Form

New Patient Form

Guy Working Out

Pinwheel Kids

Please print the following for CHILDREN UNDER 17

Child Medical History
New Patient Paperwork

Medical History Form

New Patient Form

Can't find the right form? Contact us and let us know which form you need.

Request New Form

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