At the time of registration, you must provide the following:

• Photo ID issued by a local state or federal agency, or
• Two forms of non-photo ID provided that at least one is issued by a local, state or federal agency (EX. Social Security Card and a utility bill)
• In the case of a minor who does not have a driver’s license, proof of identity is established if the parent or guardian provides proof of their own identity.

Location	Forms	Click Map for Directions
High Pointe 4199 Gateway Blvd. Ste 3800 Newburgh, IN 47630 Phone: 812-842-2820 Fax: 812-842-2821 Click Here To Email Us	Patient Registration Forms Patient Registration Forms - Pelvic Floor Common Questions to Ask Your Insurance Company

 

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