465 Construction Updates and Alternate Routes: I-69 Northbound 82nd Street (on and off ramps) 
Employment & Preceptor Opportunities:  Apply for open Northpoint office positions and CHN NP Preceptor Registration
Get Medical Advice:  Helpful resources to help you know how to best care for your child.

Form Upload and/or Ask a Question


To expedite the return of your form, complete the sections about your child, then email the form to [email protected] OR use the UPLOAD FILE button below the Patient Information boxes below. 

To send multiple pages, use a scanner app on the APP Store or Google Play.  Scan your documents with your device, then upload the one file here.   We will complete the form[s] and return them via secure email.  If emailing the form, please include your cell phone number so we can call you if we have any questions.


  • Please use the form below if you have a non-urgent question or request.  Requests will be addressed within one business day [no weekends or holidays].
  • 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.   

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
Submit question or request