Office Hours
Mon., Tues. & Thurs.
8 a.m. - 5 p.m.
(closed for lunch from 1 p.m. - 2 p.m.)
Forms for Your Visit
(Download & Print)
Health Information
You may download and print/save the following forms. If you do not have the free tool Adobe Reader, you may download it here.
- Patient Registration
- Notice of Privacy Practices
- Authorization for Child Medical Care
- CDL Physical Form
- IHSAA Sports Physical Form
- Living Will Declaration
- Advance Directives
Patient Education
- High Blood Cholesterol - What You Need to Know
- Online Health Library from Community Health Network