TPC (317) 827-2987

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  • Staff
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  • Types of Services
  • Insurance
  • Forms
  • Contact

patient forms & information

Request An Appointment

referral forms & consents

Click on the form below to print and complete.  All forms can be faxed to our office at (317) 219-0879 or emailed to Nicole@TPCfeet.com.
TPC Consent and Financial Agreement Form
File Size: 150 kb
File Type: pdf
Download File

TPC Intake Form for New Patients
File Size: 136 kb
File Type: pdf
Download File

TPC Privacy Practices
File Size: 82 kb
File Type: pdf
Download File

TPC Medical Records Request Form
File Size: 317 kb
File Type: pdf
Download File

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