Home
Our Team
Office Info
Location & Hours
New Patients
Insurance List
Financial Policy
Physical/Vaccine Policy
Adolescent Confidentiality
Separated/Divorced Families
Sick Visits
Well Visits
Forms
Consent to Treat Form
Day Care Form
Family History Summary Form
IHSAA (Sports Physical)
Referral Waiver Form
Release of Medical Info Form (From)
Release of Medical Info Form (To)
Patient Education
Acne
Asthma
Conjunctivitis
Constipation
Diaper Rash
Diarrhea, Vomiting and Gastroenteritis (GE)
Earache
Eczema
Fever
Flu
Head Trauma / Concussion
Lice
Nasal Spray
Poison Ivy
Warts
Child Health
Medicine Cabinet
Check Ups & Immunizations
Vaccine Facts
Infections
Infant Care
Feeding
Safety Tips
Patient Portal
Dr. Gary’s Blog
Patient-centered solo practice for newborns through young adults. Appointments: (317) 875-0009.
CONSENT TO TREAT
May 15, 2018
