Common medical forms are available to patients before their appointment. Select a form using the menu. Downloadable, online fillable versions are available below. Once the forms are completed, you may fax the form to us at 765-205-8322. You may transfer the completed documents using our online telemedicine portal by appointment (15 minutes before your scheduled appointment), mail the forms to 156 Sagamore Pkwy W. , Ste A, West Lafayette, IN 47906, deliver to the secure drop box located in the foyer at our office (open M-T-Th-F from 9-5 pm, and W 9-12), or print out and bring to your in-office appointment.
DOCUMENTS TO READ
DOCUMENTS TO COMPLETE
OTHER FORMS (requested by provider)
Lifestyle Medicine Intake