Community Health Network

Ranked among the nation's most integrated healthcare systems, Community Health Network is Central Indiana's leader in providing convenient access to exceptional healthcare services, where and when patients need them—in hospitals, health pavilions, workplaces, schools and homes.

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For patients

Registration forms

Woman's upper back in exercise clothingTo save time, click the links below to view and print forms that you may complete and take to your appointment. *To view and print PDFs you will need the free tool Adobe Reader.

Select only one of the following based on your primary pain area (back or neck):

Additional forms (optional)

Your appointment

Please arrive 30 minutes prior to your scheduled appointment time for your first visit. There will be a few additional fill-in-the-blank forms to complete when you arrive.

What to bring:

  • Previous X-rays, CT scan, bone scan or MRI scans, films and reports
  • Name and dosage of all current medications
  • Completed pre-registration forms (download above)

Frequently asked questions >>

Proud sponsor

  • Indiana Fever
  • Indianapolis Indians
  • Indiana Pacers
  • Ed Carpenter Racing
  • Indy Eleven
  • Indy Fuel

Health and wellness shopping

  • Wellspring Medical at Home for medical supplies and equipment
  • FigLeaf Boutique
  • Jasmine gift shop
  • Wellspring Pharmacy

More about shops