Referring Physician Resources

Thank you for entrusting Central Indiana Orthopedics with your patients.

Please fill out the secure form below, and we will contact your patient directly within 24 hours to schedule an appointment.

If you are referring a patient for ActivArmor, please use this ActivArmor referral form.

If you are referring a patient for Physical Therapy (Fishers), please use this physical therapy referral form.

To speak with a referral specialist, please call our Referral department directly at 765-608-3625.

If you are a patient interested in making an appointment, please use our Patient Appointment tool.

*Required

  • Referring Office Contact Information

  • If you would like a confirmation of your patient’s appointment, please provide your fax number.
  • Patient Information