Patient Forms
Please download, print and complete the following forms prior to your appointment. ALL patients must have the following forms on file.
SIMP Patient Information Form
Health Questionnaire Form
HIPPA Information and Release Form
SIMP Consent Form
How to Get Ready for Your Virtual Appointment
We are doing everything possible to keep our patients and staff healthy by offering telemedicine for your healthcare needs. You will need to follow several steps prior to your appointment to make sure all goes as planned:
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- Check your email for the invitation from our digital partner, Spruce.
- Accept the invitation and click “okay” to set up your account.
- Enter your mobile phone number. Spruce will send you a text message with a verification code.
- Enter the verification code to set up your profile. You will need to enter your first and last name, phone number, and create a password as prompted.
- Remember to save your password!
Patient Portal
The patient portal lets our patients engage in their care at their convenience:
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- View test and lab results
- Make payments online
- Request or schedule appointments
- Exchange secure messages with their care team
- Request prescriptions and refills
If you are not signed up to access the patient portal, contact our office at 812-248-0800.
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