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
4.6 out of 5 stars
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IU Health Saxony Hospital
Suite 1200
13000 E 136th St
Fishers, IN 46037
General Inquiries
Fax Number
Hours
Located just east of I-69 North. Take I-69 North to Exit 10 Saxony and go east on 136th. Go right at first right and enter building at North entrance to Suite 1200.
Billing & Insurance
Payment (including copays, coinsurance and deductibles) is expected at time of service. As a courtesy, we will file your commercial insurance claims to your insurance carrier. Please have your insurance card and prescription card (if separate from insurance card) with you for each appointment.
Referrals
Please check with your insurance carrier to determine whether or not a referral to a specialist is necessary. When requesting a referral from our office, please allow 2 business days for completion.
Prescriptions & Refills
Please contact your pharmacy with your refill request. Your pharmacy will then fax the request to us and will be handled within one business day (24 hours) of receipt.
Overview
Billing & Insurance
Payment (including copays, coinsurance and deductibles) is expected at time of service. As a courtesy, we will file your commercial insurance claims to your insurance carrier. Please have your insurance card and prescription card (if separate from insurance card) with you for each appointment.
Referrals
Please check with your insurance carrier to determine whether or not a referral to a specialist is necessary. When requesting a referral from our office, please allow 2 business days for completion.
Prescriptions & Refills
Please contact your pharmacy with your refill request. Your pharmacy will then fax the request to us and will be handled within one business day (24 hours) of receipt.
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