Autorización para Publicar y Divulgar Información del Paciente
Complete este formulario cuando desee que sus registros médicos sean liberados a otra persona
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Behavioral Health
IU Health Physicians Behavioral Health
4.8 out of 5 stars
Score is an average of all responses to care provider related questions on our nationally-recognized NRC Health Patient Experience Survey.
Learn About Survey
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IU Health North Hospital Medical Office Building
Suite 325
11725 N Illinois St
Carmel, IN 46032
General Inquiries
Fax Number
Hours
When you visit IU Health Physicians Behavioral Health in Carmel, you'll receive care designed for your specific needs.
Our highly skilled team believes in treating you as a whole person - not just a symptom. At IU Health Physicians Behavioral Health, you’ll have access to a broad range of behavioral health services.
Authorization to Release Medical Records
Complete this form when you'd like for your medical records to be released to another entity.
Lista de Comunicación de Información Preferida
Complete este formulario para permitir que familiares y amigos pueden reciber información sobre su salud
Preferred Communication List
Complete this form to allow family and friends to receive information regarding your health
Consentimiento General
Se te pedirá que revise y firme este consentimiento para recibir atención de nuestros médicos y personal
General Consent
You will be asked to review and sign this consent to receive care from our physicians and staff
Registro Ambulatorio
Para todos los pacientes, por favor completa para su primera visita
Ambulatory Registration
For all patients, please complete for your first visit
Forms
Autorización para Publicar y Divulgar Información del Paciente
Complete este formulario cuando desee que sus registros médicos sean liberados a otra persona
Authorization to Release Medical Records
Complete this form when you'd like for your medical records to be released to another entity.
Lista de Comunicación de Información Preferida
Complete este formulario para permitir que familiares y amigos pueden reciber información sobre su salud
Preferred Communication List
Complete this form to allow family and friends to receive information regarding your health
Consentimiento General
Se te pedirá que revise y firme este consentimiento para recibir atención de nuestros médicos y personal
General Consent
You will be asked to review and sign this consent to receive care from our physicians and staff
Registro Ambulatorio
Para todos los pacientes, por favor completa para su primera visita
Ambulatory Registration
For all patients, please complete for your first visit