Skip links
Skip to primary navigation
Skip to content
Skip to footer
Plainfield
call now 317-838-9911
maps/directions
request an appointment
zionsville
call now 317-732-8980
maps/directions
request an appointment
Main navigation
Home
Services
Cosmetic
Medical
MOHS Surgery
Surgical
Patients
First Appointment
New Patient Forms
No Show & Cancellation Policies
About Us
History
Meet Scott T. Guenthner, MD
Meet Shayna Gordon, MD
Meet Barbara R Sturm, MD
Nurse Practitioners
Meet Jeremy Nivens, NP-BC
Physician Assistants
Meet Audrey Hewitt, PA-C
Meet Brittany LaFree
Meet Dennae Noblitt, PA-C
Meet DermIndy
Mohs Surgery
Meet Shayna Gordon, MD
Mohs Information
Clinical Trials
Current & Recruiting Studies
Clinical Research Experience
Meet ICTC
Our Blog
Media
Photos
ICTC Office Tour
DCI Office Tour
Videos
Contact Us
Plainfield
Zionsville
ICTC
Pay Online
Patient Portal
New Patient Forms
Click on any of the links below to open the PDF of information or click
HERE
to fill your forms online.
Consent for Medical Treatment of a Minor
Email Authorization Form
New Patient Letter
Dermatology History Form
Patient Financial Responsibility Form
Patient Registration Form
DCI Notice of Privacy Practices
Directions
