Prather Wellness Center offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

 

New Patient Health History Form - Required

 

Download & Print Form

 


Patient Health Information Consent Form - Required

Download & Print Form

 


 

Member Wellness Registration Form - Optional

 

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form

 


 


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Contact

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Meridian Health and Wellness
8902 N. Meridian, Suite 101
Indianapolis, IN 46260
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  • Phone: 317-848-8048
  • Fax: 317-575-8807
  • Email Us

Office Hours

Day
Monday7am - 11am1pm - 5pm
TuesdayClosed12pm - 5pm
Wednesday7am - 11am1pm - 5pm
Thursday7am - 11am1pm - 5pm
Friday7am - 11am1pm - 5pm
Saturday8am - 12pmClosed
SundayClosedClosed

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