New patients
Patient forms
Save time at your first visit: download the forms, fill them out at home at your leisure, and bring them with you.
New patient informationStart here: your details, health history and insurance. Download · PDF, 0.9 MB
Family historyHealth history in your family. Download · PDF, 0.5 MB
Child informationFor a child’s first visit. Download · PDF, 0.4 MB
Privacy noticeHow the office protects your health information. Download · PDF, 1.6 MB
All the forms in one file (ZIP, 2.6 MB)
Questions about a form?
Call the office at (219) 838-9000 and we’ll be happy to help. You can also fill them out in the office before your first visit.
Reserve your first visit
Call the office or send a request, and we’ll find a time that suits you. New patient forms can be filled out at home.