Ambulatory Registration
For all patients, please complete for your first visit
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Specialty Care
IU Health Physicians Dermatology
Important COVID-19 Notice:
We are taking careful steps for everyone’s safety at your next visit. Learn more at our COVID-19 Resource Center:
Epler Parke
Suite 1
5550 S East St
Indianapolis, IN 46227
General Inquiries
Hours
Closed - Reopens 8 am Tuesday
When you visit IU Health Physicians Dermatology in Indianapolis, 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 Dermatology, you’ll have access to a broad range of specialty care services.
Forms
Registro Ambulatorio
Para todos los pacientes, por favor completa para su primera visita
General Consent
You will be asked to review and sign this consent to receive care from our physicians and staff
Consentimiento General
Se te pedirá que revise y firme este consentimiento para recibir atención de nuestros médicos y personal
Preferred Communication List
Complete this form to allow family and friends to receive information regarding your health
Lista de Comunicación de Información Preferida
Complete este formulario para permitir que familiares y amigos pueden reciber información sobre su salud
Authorization to Release Medical Records
Complete this form when you’d like for your medical records to be released to another entity
Autorización para Publicar y Divulgar Información del Paciente
Complete este formulario cuando desee que sus registros médicos sean liberados a otra persona
Forms
Ambulatory Registration
For all patients, please complete for your first visit
Registro Ambulatorio
Para todos los pacientes, por favor completa para su primera visita
General Consent
You will be asked to review and sign this consent to receive care from our physicians and staff
Consentimiento General
Se te pedirá que revise y firme este consentimiento para recibir atención de nuestros médicos y personal
Preferred Communication List
Complete this form to allow family and friends to receive information regarding your health
Lista de Comunicación de Información Preferida
Complete este formulario para permitir que familiares y amigos pueden reciber información sobre su salud
Authorization to Release Medical Records
Complete this form when you’d like for your medical records to be released to another entity
Autorización para Publicar y Divulgar Información del Paciente
Complete este formulario cuando desee que sus registros médicos sean liberados a otra persona