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If you have a non urgent question or a request that is general in nature please use the form below. Expect a response within 2 business days.

If you have a question that requires speaking with a nurse to discuss your child's medical condition, please call Monday-Friday between the hours of 7:30-1:00pm.

If you are calling after 1:00pm Mon-Fri and your child is ill, we can schedule an appointment to address your child's healthcare needs. Appointment line is 317-621-9000. We also offer walk-in clinics on the weekends for ill children.

WALK-IN CLINICS
Sat: Castleton location from 8:30-10:00am
Sun: 146th location from 4:30pm-6:00pm

Patient Information

Parent or Guardian's Name *

Give first and last names

Child's Name

Give first and last names

Date of Birth

Use the format MM/DD/YYYY

Primary Care Physician

Contact Information

Primary Phone *

Use the format 317-555-1212

Alternate Phone

Use the format 317-555-1212

Email *

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I understand this request form is NOT for urgent medical situations and is NOT a substitute for my child being examined by a medical provider. This request will be addressed within 2 business days.

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Northpoint Pediatrics

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Locations

Community Health Pavilion on 146th

Community Hospital North Campus