Patient Forms

Please prepare for your first appointment by completing our new patient forms. Download the forms to your computer to complete at home, then bring them with you to your first appointment.

Insurance: 
Do we accept your PPO insurance: YES
Do we have contracted fees with your insurance: No
We are not influenced by the insurance companies and therefore can treat your child honestly and conservatively. 
 

  • Medical History | PDF
  • Financial Policy | PDF
  • Appointment Cancellation Policy | PDF
  • Privacy and HIPPA Notice | PDF

If you’re unable to open PDF files, you can get Adobe Reader® for free.

(317) 286-3631
675 Patrick Pl Suite E
Brownsburg, IN 46112

Office Hours

Mon | Hours Vary
Tue & Wed | 8:30am to 4:30pm
Thurs | Hours Vary
Request an Appointment