ProHealth

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
Floyds Knobs 100 LaFollette Station South, Ste 104 Floyds Knobs, IN 47119 Phone: 812-923-0912 Fax: 812-923-1274 Click Here To Email Us	Patient Registration Forms Patient Registration Forms – Medicare Common Questions to Ask Your Insurance Company
New Albany 720 Rolling Creek Dr. Ste. 103 New Albany, IN 47150 Phone: 812-945-6545 Fax: 812-945-6548 Click Here To Email Us	Patient Registration Forms Patient Registration Forms – Medicare Common Questions to Ask Your Insurance Company
Charlestown 2200 Market Street Charlestown, IN 47111 Phone: 812-256-7560 Fax: 812-256-7427 Click Here To Email Us	Patient Registration Forms Patient Registration Forms – Medicare Common Questions to Ask Your Insurance Company

Location

Forms

Click Map for Directions

Floyds Knobs
100 LaFollette Station South, Ste 104
Floyds Knobs, IN 47119

Phone: 812-923-0912
Fax: 812-923-1274
Click Here To Email Us

New Albany
720 Rolling Creek Dr. Ste. 103
New Albany, IN 47150

Phone: 812-945-6545
Fax: 812-945-6548
Click Here To Email Us

Charlestown
2200 Market Street
Charlestown, IN 47111

Phone: 812-256-7560
Fax: 812-256-7427
Click Here To Email Us