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Donald K. Leedy, MD
Patricia G. Huse, MD
Joe M. Hannah, MD
Michelle A. Timmons, MD
Joshua T. Richey, MD

Office
317.297.3507

Answering Svc
317.631.3466

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INDIANAPOLIS pediatrician
Office Hours
Mon-Fri  9AM-12PM
1PM-5PM
Sat 9AM-12PM
Sun Phones open 9AM

Forms

 

Here are some downloadable forms.  They are all in PDF format and will require you to have the Adobe Acrobat reader installed.

 

New Patients: You will need to fill out the New Patient Form and HIPAA Form for your first visit. If you are transferring from another doctor, you will also need a Medical Records Release form (from previous doctor).

 

Forms updated as of November 5, 2014