Forms
Indiana Forms
- Patient Information Form
- Adult New Patient Intake Forms
- Child New Patient Intake Forms
- Consent to Treat a Minor Form
- Assignment of Benefits Form
- Privacy and Office Policy
- HIPAA Acknowledgement Form
Bariatric Evaluations
- Binge Eating Scale
- Weight and Lifestyle Inventory (WALI)
- AUDIT-C
- The Drug Abuse Screening Test (DAST)
- Multidimensional Health Locus of Control
Spinal Cord Stimulator Surgery