Request a Primary Care Doctor Appointment – Form


Note: Do not use this form for urgent or emergency situations. If this is an emergency, please visit your nearest emergency room.  This form is NOT for Urgent Care or a COVID 19 test. Please visit UrgentCare Indy for urgent care and COVID-related needs HERE.   Non-primary care submission will be disregarded. 

Scheduling routine doctor’s visits, including your annual physical exam, is important to maintain overall health. Over time, your primary care doctor forms a complete picture of your past and current health to better protect you against future health complications. In between exams, your primary care doctor can also help to diagnose and treat minor illnesses and injuries.

For Urgent Care, Visit

Though you should always try to set up an appointment with your primary care doctor before using an urgent care clinic, choose urgent care for non-emergency conditions that arise when your primary care doctor is not available, such as:

  • Upper respiratory problems, such as sore throat, earache or sinus symptoms
  • Non-life threatening allergic reactions
  • Minor skin infections and rashes
  • Minor burns
  • Insect bites, minor animal or human bites
  • Urinary tract infections
  • Minor cuts, contusions or abrasions 

Always choose emergency care when you are faced with a severe, life-threatening condition. Dial 9-1-1 or visit your ER right away if you or someone around you is experiencing any of the following emergency symptoms or conditions:

  • Chest pains or symptoms of heart attack or stroke
  • Seizure
  • Loss of consciousness
  • Abdominal pain
  • Head injury or pain
  • Poisoning
  • Choking or difficulty breathing
  • Open fractures, severe cuts, burns or uncontrollable bleeding
  • Fever in elderly individuals or young children

Appointment Request Form