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!

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

All sharing ministries are accepted, including:

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