Make an Appointment

We Will Get You In ASAP

We value our patients and want to provide them with an easy way to make appointments. Please simply call us to make your appointment and we will get you in as soon as possible.

New Patients

If you are a new patient, please fill out the PATIENT DEMOGRAPHIC, HISTORY & PHYSICAL, OFFICE & FINANCIAL POLICIES and the PATIENT CONSENT TO SHARE PROTECTIVE HEALTH INFORMATION forms (click on links below) prior to your appointment in order to facilitate the registration process. Please remember to bring these forms to your visit.

Patient Demographic Form
History and Physical
Office and Financial Policies
Privacy Practices for Protected Health Information
Patient Consent to Share Protective Health Information Form
Workers Compensation Referral
Notice of Privacy Practices

What do I bring?

Please arrive 15 minutes prior to your appointment time so that we may address any additional registration needs. You will also need to take the following:

  • Any filled out forms
  • Current insurance cards
  • Form of photographic identification such as a driver's license or passport to your initial appointment
  • Previous medical records or x-rays, MRI, and/or CT scans pertinent to your visit

magical healing

» Kevin of Daleville, IN