465 Construction Updates and Alternate Routes
Send a Non-Urgent Message or Form Message left will be addressed within two business days [no weekends or holidays].  Please use the form only if you have a non-urgent message that does not require a same-day response
Get Medical Advice:  Helpful resources to help you know how to best care for your child.

Send a Non-Urgent Message or Form to be Completed

PRESCRIPTION REFILL REQUESTS HERE

 

PLEASE READ BEFORE SENDING A FORM TO BE COMPLETED:

To expedite the return of your form, please fill out all the areas to be completed by the parent or the patient and then email the form to [email protected].  When emailing the form, please include your cell phone number so we can call you if we have any questions. We will then complete our sections and return the form to you via secure email.

NOTE: You can send multiple pages simultaneously using a *scanner app, which saves multiple pages as a PDF. 
*find scanner apps on the APP Store or Google Play

 

PLEASE READ BEFORE SENDING A MESSAGE:

If your child has any health concerns in the list BELOW, they must be seen in the office. DO NOT SEND A MESSAGE, AS THIS CAN DELAY CARE. Call us at 317-621-9000 on weekdays to schedule an appointment. If your child has any of these concerns on the weekend, please visit one of our walk-in clinics. If you send a non-urgent message, it will be addressed within two business days [no weekends or holidays]. 

  • Child was seen elsewhere, and you have follow-up questions or concerns -NEEDS AN APPOINTMENT
  • Child was seen previously for a sick appt; symptoms are worse now, or the child has new symptoms - NEEDS AN APPOINTMENT
  • Child with symptoms the same as their sibling who is already being treated - NEEDS AN APPOINTMENT
  • Concerns after a motor vehicle accident - NEEDS AN APPOINTMENT
  • Constipation - NEEDS AN APPOINTMENT
  • Cough for one week or longer - NEEDS AN APPOINTMENT
  • Cough that leads to vomiting - NEEDS AN APPOINTMENT
  • Cough that keeps child up at night - NEEDS AN APPOINTMENT
  • Diaper rash that includes any areas of bleeding or cracked, broken, or weeping and yellow crusting skin - NEEDS AN APPOINTMENT
  • Ear pain symptoms - NEEDS AN APPOINTMENT
  • Feeding and/or Formula Concerns - NEEDS AN APPOINTMENT
  • Fever with any other symptom - NEEDS AN APPOINTMENT 
  • Parent wants a script for medication - NEEDS AN APPOINTMENT
  • Rashes - NEEDS AN APPOINTMENT
  • Strep throat symptoms - NEEDS AN APPOINTMENT
  • Sinus infection symptoms - NEEDS AN APPOINTMENT
  • Temperature of 100.5 or higher for three or more days - NEEDS AN APPOINTMENT
  • Urinary tract infection symptoms - NEEDS AN APPOINTMENT

If your child has any health concerns listed ABOVE, they must be seen in the office. 
Call us at 317-621-9000 on weekdays to schedule an appointment. If your child has any of these concerns on the weekend, please visit one of our walk-in clinics.

  • If you need at-home care advice, visit our searchable mobile app NP PEDS MD, featuring a tile menu for easy access to answers on behavior concerns, COVID-19, common child illnesses, medication dosing charts, and dozens of other topics.   


PRESCRIPTION REFILL REQUESTS HERE

REGARDING NON-URGENT MESSAGES:
If your child has any health concerns in the list ABOVE, they must be seen in the office. DO NOT SEND A MESSAGE, AS THIS CAN DELAY CARE. Call us at 317-621-9000 on weekdays to schedule an appointment. If your child has any of these concerns on the weekend, please visit one of our walk-in clinics.

Patient Information
Contact Information
Give first and last names
Use the format 317-555-1212
Give first and last names
Use the format 317-555-1212
Use the format MM/DD/YYYY
No work emails; use personal/home email address only
Submit your non-urgent message after reading and acknowledging the statement below.