Intake Forms

Please send along with the front and back copy of your insurance cards and Diagnostic reports along with your application.

Click here to fill out the intake form

Get In Touch

Phone: 574-855-4292

Fax: 574-635-3201

Locations 

1316 W Dragoon Trail
Mishawaka, IN 46544

17106 Cleveland Road
South Bend, IN 46635