Prior to your first visit, we ask that you carefully complete our New Patient Forms and bring them with you on your appointment day. You may also fax them ahead of time to 317-842-4393. The forms are in Adobe Acrobat (PDF) format. If you do not have Adobe Acrobat Reader, click on the icon below to get a free version.
If you have any problem getting the forms to print properly, please call our office at 317-842-4901 or 800-818-EARS (3277) and we will gladly mail or fax them to you.
Alternatively, you can also complete the equivalent of the printed forms online using our secure Patient Portal (button located at the top left of each page), which would allow the doctor to have your medical history already in your record when he sees you. Call our office to obtain your PIN number to register for the Portal. Once on the Portal, click on Register up in the top left of the screen to set up your Portal account. Once registered, go to Online Patient Forms and use the New Patient Enrollment and Pre-Visit Medical History Questionnaire forms.