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Contact Us
Contact Us
Contact Us
219 864 5700
Address:
833 U.S. 30 Suite 310 E
Schererville, IN 46375
Downloadable Forms
We have made our new patient forms available to you for your convenience. Please remember to bring your completed form with you to your first appointment.
Consent For Examination & Treatment
Notice of Patient Privacy Policy
Informed Consent To Practice In Active Rehabilitation
New Patient Form
Notice Of Information Practices
Notice of Nondiscrimination
Good faith estimate of care
Office Financial Policy
HIPPA & Record Release Authorization
Record Release Authorization
Notice of Patient Privacy Policy
Informed Consent To Practice In Active Rehabilitation
New Patient Form
Notice Of Information Practices
Notice of Nondiscrimination
Good faith estimate of care
Office Financial Policy
HIPPA & Record Release Authorization
Record Release Authorization
