Registration Paperwork

• • Complete Registration Packet

Additional Forms

For established patients, if you need to update your information, please use the form below:

• • Change of Information Form

For your information, please find our privacy practices below:

• • Notice of Privacy Practices

Accepted Insurances

Here is a list of the larger insurance companies that we accept.  If you do not see your insurance listed, they may be part of one of the larger networks listed.  Please feel free to call us with specific questions!

*Insurance plans change frequently without always giving us notification of the changes.  To confirm if we are in network with your plan, anytime there is a change to your insurance plan, we recommend that every patient call their insurance company and verify before scheduling an appointment with our office.*

• • AARP
  • Anthem Blue Cross Blue Shield** (Commercial Plans)
  • Aetna
  • CareSource of Indiana** (Commercial Plans)
  • Cigna
  • Encore Health Network
  • Humana
  • IU Health
  • Lutheran Preferred
  • Managed Health Services**
    • Ambetter (Commercial Plans)
  • Medicare
  • Multiplan
  • Parkview Signature Care
  • Physicians Health Plan
  • Sagamore Health Network
  • Three Rivers Preferred
  • Tricare
  • United Healthcare

** At this time, we are only accepting commercial plans and no longer accept any Medicaid plans.

All sharing ministries are accepted, including:

• • MediShare
  • Christian Healthcare Ministries
  • Samaritan Ministries
  • CMF Curo
  • Liberty
  • Solidarity