HOLIDAY HOURS
OPEN Sat 5/28: Walk-in Sick Clinic 8:30a - 10a at the Castleton office
OPEN Sun 5/29: Walk-in Sick Clinic 4:30p - 6p at the 146th office
CLOSED Monday 5/30 Memorial Day
MA, LPN Employment Opportunities: LEARN MORE and apply soon!     
COVID Information and Updates
Get Medical Advice:  Helpful resources to help you know how to best care for your child.

Form Upload and/or Ask a Question

FORMS:

To expedite the return of your form, first, 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. 

NOTE: 
To send multiple pages, use a scanner APP found 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 via secure email. If emailing the form, include your cell phone number if we have questions.

 

NON-URGENT QUESTION OR REQUEST:
 
  • If you have a non-urgent question or request, please use the form below.  Expect a response within one business day (Monday - Friday).
     
  • 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, and 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