Please feel free to contact our office anytime:

Spinal Healthcare & Physical Medicine
108 Landin Road
New Haven, IN 46774

Click to Call Here!
Or Call Us: 2604936565


The forms you will need to have for your first appointment are below. Just print the forms and fill them out to bring to your first appointment. If you are not able to do this or have any questions about the form or process, please do call the New Haven office at2604936565. Whatever your situation and whether you live in the New Haven, Fort Wayne, Woodburn, or surrounding areas, we are glad to help. We look forward to hearing from you.

Download a Microsoft Word document Here:


View and Print the Forms in PDF Here

If the patient is a minor, please download and complete this PDF formatted CONSENT TO TREAT A MINOR or Word format CONSENT TO TREAT A MINOR

If you do not have the Adobe PDF Reader you can install it here for free.