Patient Forms

For your convenience, the forms below may be completed prior to your next doctor appointment. These forms can be printed, filled out, and brought with you before your appointment. This will allow our patients plenty of time to complete all necessary paperwork prior to arriving at the office.  If you have any questions about which forms you should fill out, please contact our office.

 

Portage Health Center

6375 U.S. HWY. 6

Portage, IN 46368

Phone: 219-762-3196

Fax: 219-763-6438

Hours:

M  

T    

W  

Th    

F

S   

           

8am-5pm

8am-5pm

8am-5pm

8am-5pm

8am-1pm

8am-12pm 

(*1st sat of month)

 

Merrillville Health Center

8695 Connecticut, Suite B

Merrillville, IN 46410

Phone: 219-769-2258

Fax: 219-769-2743

Hours:

M  

T    

W  

Th    

F

S   

           

8:30am-5pm

9:30am-5pm

10am-5pm

8:30am-5pm

8:30am-1pm

8:30am-12pm 

(*2nd sat of month)