ProgressiveHealth

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
Evansville East 1300 Professional Blvd. Evansville, IN 47714 Phone: 812-477-3422 Fax: 812-475-2020 Click Here To Email Us	Patient Registration Forms Patient Registration Forms – Medicare Privacy Notice Common Questions to Ask Your Insurance Company
Evansville West 150 N. Rosenberger Ave Evansville, IN 47712 Phone: 812-476-7000 Fax: 812-476-2446 Click Here To Email Us	Patient Registration Forms Patient Registration Forms – Medicare Privacy Notice Common Questions to Ask Your Insurance Company
Evansville North 8700 A. North Kentucky Ave Evansville, IN 47725 Phone: 812-437-2893 Fax: 812-437-2897 Click Here To Email Us	Patient Registration Forms Patient Registration Forms – Medicare Privacy Notice Common Questions to Ask Your Insurance Company
Fort Branch 7851 S. Professional Dr. Ft. Branch, IN 47648 Phone: 812-753-4549 Fax: 812-753-4552 Click Here To Email Us	Patient Registration Forms Patient Registration Forms – Medicare Privacy Notice Common Questions to Ask Your Insurance Company