Welcome to our Express Check-in. By filling in the forms before you arrive, we can help ensure that you see someone right away.

We have two convenient ways to fill out the forms and send them in.
• Open the Microsoft Word documents below, type in the information and either fax or mail the forms to us (see fax and address information at the right)
• Open the PDF documents below (you must have Adobe Reader. Click here to download.) write in the information and either fax or mail the forms to us (see fax and address information at the right)

Microsoft Word Documents
Psych-social Form
Client Medical Worksheet

PDF Documents
Psych-social Form
Client Medical Worksheet

24 HOUR CRISIS
1-800-560-4038
317-574-1252

NEW APPOINTMENTS
317-574-1254


ADDRESS | FAX
697 Pro-Med Lane
Carmel, IN 46032-5323
Phone: (317) 587-0500
Fax: (317) 574-1234