Forms

Want to be ahead of the game? Fill out and print these forms prior to your visit.

New Patient


ADHD Forms

These forms can be printed out ahead of time and filled out by the parents and teachers. Please take your time and feel free to add as much additional comments as you can.


Community Forms

If you need one of these forms from the doctor, please fill it out as much as you can before your visit:

Pop Warner

Physical form for your football player or cheerleader

IHSAA

Standard physical form for participation in Indiana High School activities 

Day Care

Common form for Indiana day cares and Head Start Programs

Contact Us

Our Location

Find us on the map

Hours of Operation

Our Regular Schedule

Brickyard Pediatrics

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:30 am-5:00 pm

Thursday:

9:00 am-5:00 pm

Friday:

9:00 am-3:00 pm

Saturday:

Closed

Sunday:

Closed