Patient Resources

How to make an appointment

Forms to fill out before your appointment

Accepted insurance

How to make an appointment

Appointments can be made by calling our office at 317-887-4400. We welcome walk-ins and same day appointments are usually available. Appointments can also be made electronically via the form on the right or at zocdoc.com (http://www.zocdoc.com/doctor/swati-jain-md-101329). After hours calls are diverted an answering service and Dr. Jain or the on-call doctor will answer your call.

Forms to fill out before your appointment

These forms allow us to make your visit as efficient and stress-free as possible. Please print them out using Adobe acrobat reader (http://get.adobe.com/reader), fill them out and bring them to the office with you.


Patient Registration Forms

Patient Registration Form - Download Now

Patient Insurance Forms & Informations

Patient Insurance Information - Download Now
Initial Patient History Form - Download Now
Notice Of Privacy Acknowledgement Receipt - Download Now
Notice of Privacy Practices - Download Now
Medical Record Release Form - Download Now
BRCA Assessment Form - Download Now

Accepted insurance

We take most major private insurance as well as Medicaid and Medicare. Coverage can be obtained through the Health Insurance Marketplace at www.healthcare.gov.