Appointment Request

Healthcare providers refer patients to Indiana Spine Group after an initial visit, which often includes a physical examination, lab work, CT and/or MRI scans.

The information from the patient’s initial visit is sent to Indiana Spine Group so that it may be reviewed by one of our physicians prior to the patient’s appointment.

To refer a patient to Indiana Spine Group, you may contact us by phone or fax.

Carmel – Phone: (317) 228-7000 – Fax: (317) 715-5895
Fishers – Phone: (317) 564-6800 – Fax: (317) 764-2565
Greenwood – Phone: (317) 893-1960 – Fax: (317) 851-9728
Kokomo & Peru – Phone: (765) 450-0111 – Fax: (765) 553-5504
Lafayette – Phone: (765) 446-5210 – Fax: (765) 446-5211

Print the out and fax the Patient Referral Form to the appropriate location/physician listed on the form.
Referring physicians will receive a complete report from Indiana Spine Group and we strongly encourage providers to call Indiana Spine Group with any questions.