Central Scheduling (260)209-2464 · ☏ Business Office (260) 432-4700 comments@indianapt.com

Pre-Registration Form

Fill out the pre-registration form below prior to your appointment or download the complete registration form PDF by clicking here Pre-Registration Form PDF to fill out, and bring in with you to your appointment.

[contact-form-7 id=”683″ title=”Patient Registration Form Short”]