Ambulatory Registration
For all patients, please complete for your first visit
For more information, visit our COVID-19 Resource Center.
It’s no secret that seeing a primary care physician is an important aspect of your health and wellness. Keeping up with routine and preventive care early and regularly can make a huge difference in your overall well-being.
Conveniently located in offices throughout the state, our primary care physicians and team members are committed to promoting healthy lifestyles and preventive medicine through high-quality, personalized care for patients of all ages. With our highly skilled physicians, you can guarantee that a team of providers will be dedicated to getting and keeping you well.
Additionally, as part of a healthcare system nationally ranked by U.S. News & World Report, our physicians have access to the most highly skilled specialists and advanced facilities in the state, including Riley Hospital for Children at IU Health and Indiana University Health Simon Cancer Center.
For all patients, please complete for your first visit
Para todos los pacientes, por favor completa para su primera visita
You will be asked to review and sign this consent to receive care from our physicians and staff
Se te pedirá que revise y firme este consentimiento para recibir atención de nuestros médicos y personal
Complete this form to allow family and friends to receive information regarding your health
Complete este formulario para permitir que familiares y amigos pueden reciber información sobre su salud
Complete this form when you’d like for your medical records to be released to another entity
Complete este formulario cuando desee que sus registros médicos sean liberados a otra persona
For all patients, please complete for your first visit
Para todos los pacientes, por favor completa para su primera visita
You will be asked to review and sign this consent to receive care from our physicians and staff
Se te pedirá que revise y firme este consentimiento para recibir atención de nuestros médicos y personal
Complete this form to allow family and friends to receive information regarding your health
Complete este formulario para permitir que familiares y amigos pueden reciber información sobre su salud
Complete this form when you’d like for your medical records to be released to another entity
Complete este formulario cuando desee que sus registros médicos sean liberados a otra persona