Appointments – Indiana Health Centers

To request an appointment, please fill out the form below and someone from IHC will contact you within 24 hours.

I understand

Name*

First Last

Date of Birth*

Currently an IHC Patient*

Yes
No

Phone Number*

Can we leave a voicemail*

Yes
No

Email

Area of care for appointment

Please note that behavioral health appointments are available for current Indiana Health Center patients. To schedule an appointment for behavioral health, please contact your Indiana Health Center primary care provider for a referral.

Preferred location for appointment

Spanish interpretation needed?*

Yes
No

Is there other information you'd like us to know about your requeset?

(Please enter information her regarding things you're looking for from a provider)

You may receive occasional emails related to the area of care selected.

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