New Patient Registration
Personal information, insurance, and emergency contacts.
Download FormPatient Resources
Patient Resources
Everything you need before, during, and after your visit — forms, policies, portal access, and answers to your most common questions.
Secure Patient Portal — Powered by CharmHealth
CharmHealth Patient Portal
Access your health records, lab results, visit summaries, and secure messages with your provider through our CharmHealth patient portal. Available 24/7 on any device.
Need help accessing your account? Call us at (260) 298-8307
- View lab results & visit summaries
- Request prescription refills
- Send secure messages to your care team
- Request or manage appointments
- Update your health history & medications
- Pay your balance online
Before your first visit
New Patient Forms
To save time at your first visit, please download and complete these forms before you arrive. Bring them with you or upload them through the patient portal.
Medical History Form
Past medical history, surgeries, medications, and allergies.
Download FormHIPAA Privacy Notice & Acknowledgment
Your rights regarding your protected health information.
Download FormFinancial Policy & Consent to Treat
Billing policies, insurance authorization, and consent for treatment.
Download FormRelease of Medical Records
Authorize transfer of records from a previous provider.
Download FormMedication Management Agreement
Required for patients receiving controlled substances or GLP-1 therapy.
Download FormUpload completed forms through the CharmHealth portal or bring them to your appointment.
Plan ahead
Preparing for Your Visit
Bring Your Insurance Card
Bring your current insurance card and a valid photo ID to every visit.
List Your Medications
Bring a complete list of all current medications, supplements, and vitamins — including dosages.
Arrive 15 Minutes Early
New patients should arrive 15 minutes before their scheduled appointment to complete any remaining paperwork.
Know Your Medical History
Be prepared to discuss past surgeries, hospitalizations, chronic conditions, and family health history.
Bring Prior Lab Work
If you have recent lab results from another provider, bring them or have them faxed to our office before your visit.
Write Down Your Questions
Make a list of your top concerns and questions so we can address everything that matters to you.
Office Policies
Frequently Asked Questions
Still Have Questions?
Our team is happy to help. Call us during office hours or send a message through the patient portal.