Save time at your first appointment.

You can save time by printing and completing some of the required forms before your first appointment, including:  

Medical History Form - Adult

Medical History Form - Child & Adolescent (ages 17 and under)

Nicotine Dependence Form

Screening Tool

If you have questions about these forms, please call Client Financial Services at 219.531.3500 or contact us through this website.

Please note that at your first appointment, you will complete or receive additional forms, including: Consent for Treatment, Insurance Authorization for Disclosure, and documents including the Client Rights and Responsibilities and the Porter-Starke Services' Privacy Practices.

Thank you for your patience with this process and for choosing Porter-Starke Services for your care.