Beginning July 17, 2018 our Weekday Walk In Clinic changed to scheduled appointments. Phone lines open weekdays at 7:30 am to schedule same day appointments. Call 317-621-9000 between 7:30 am - 7:45 am for the earliest appointment times.  This change will enable you to request a specific weekday appointment at a time and location that works best for your family.  Please note that the Saturday and Sunday Walk-In Clinics are continuing.

Medical Form Fees

Payment is required at the time of request.

FORM TYPE FEE
Adoption Forms $25.00
Long Term Care Forms $20.00
FMLA Authorization Forms $20.00
All Other Medical Forms $5.00

Fees do not include office visits.

Insurance companies do not provide a benefit for completing medical forms, so we do require payment when the service is requested.

 
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