Home Search

 Schedule Appointment

Call for an appointment at 317-841-8090 or 800-872-5123 in Indiana.

Click here for maps to our locations.

In an effort to reduce your waiting time in our lobby you may download the forms below. Please follow these instructions:

1) Download the appointment forms below.
2) Complete the forms. Please answer every question.
3) Once forms are complete

a) Fax to 317-577-7538 (you will not need to arrive prior to your scheduled appointment time)

or

b) Bring completed forms with you to your appointment (please arrive 15 minutes prior to your appointment time).

  1. General Info
  2. Health History

You will need Acrobat Reader to download the forms. Download it here free.

 

Home Next

Contact Us At: Info@ColonRectalCare.com