New Patient Forms

These forms are to be completed only after an initial appointment is scheduled. There may be additional forms specific to your insurance or EAP company that will need to be completed prior to or at your first appointment. 

Online Forms

If you have not yet called to setup an appointment, please do so before completing our online forms. 

Only complete the form that pertains to your EAP benefits.

Working Hours

Front Office Hours

9:00AM - 5:00PM, Monday - Friday

Clinical Hours

By Appointment Only

Morning, Day & Evening

Our Office


12337 Hancock St. 

Suite 20

Carmel, IN 46032





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