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  • Appointments
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Forms & Links

Forms

  • Patient Registration
  • Patient Financial Policy
  • Financial Waiver
  • IHSAA Physical Form (Middle School – High School)
  • Sports Participation Form (Elementary School)
  • Release Of Records – Incoming
  • Instructions For Outgoing Records
  • Release Of Records – Outgoing
  • Vanderbilt Testing Assessment – Teacher
  • Vanderbilt Testing Assessment – Parent
  • Mental Health Referral List
  • Preferred Specialist List
  • ACA Non Discrimination Notice
  • 18 Year Old Personal Representative
  • Insurance Waiver
  • Good Faith Estimate

Links

  • Center for Disease Control and Prevention
  • American Academy of Pediatrics
  • Vaccine Information Handouts From CDC
  • Parents of Kids with Infectious Diseases

Illness Handouts

  • Common Cold
  • Vomiting & Diarrhea
  • Fever: Myths and Facts
  • Ibuprofen (Advil or Motrin) and Tylenol dosage chart

Site Map

  • Home
  • Physicians
  • Appointments
  • Forms and Links
  • Pay Online
  • Home
  • Physicians
  • Appointments
  • Forms and Links
  • Pay Online

Contact Info

  • 8851 Southpointe Dr C-1, Indianapolis, IN 46227
  • mysouthpointeaccount@ecommunity.com
  • 317-887-3344
  • 317-885-5018

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