You can revisit an earlier step anytime — just click it above.
Your Location
What Brings You In?
Is this related to a workers' comp claim or motor vehicle accident?
Are you already receiving treatment with us for this issue?
Choose Your Provider
Providers who treat what you selected
Your Information
This lets us check for your existing chart.
Tap or click for front of card
JPG, PNG, PDF · max 8 MB
Tap or click for back of card
JPG, PNG, PDF · max 8 MB
Your information is encrypted and HIPAA-protected.
Let's get a good phone number for appointment communication.
Pick Text or Call to receive your verification code.
Checking for your chart…
Choose a Time
Finding available times…
Don't see a good time? Call or Text (812) 477-1558 — we may have other options.
ⓘ We'll confirm your time
Request This Appointment
We already have everything you entered - just let us know your preference.
Review & Confirm
Please verify everything looks correct before confirming.
Provider
Date & time
Location
Reason
Patient
✓
You're Booked!
Confirmation #
Provider
Date & time
Location
Need to cancel or reschedule? Call or Text (812) 477-1558 at least 24 hours before your appointment.
ⓘ
Request Received
Our team will call you within one business day to confirm a time.
Confirmation #
Provider
Location