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The Centre, P.C.

(574) 968-9100

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Patient Forms

In order to ensure shorter wait times and more efficient processing of your new patient paperwork, please print out these forms and bring them with you to your first visit.

Cosmetic Forms

  • Cosmetic New Patient Paperwork
  • Insurance New Patient Paperwork
  • Notice of Privacy Practice for Protected Health Information

Medical Spa Forms

  • Medical Spa New Patient Paperwork
  • NEW Medical Spa Policy
  • Biote Female Patient Packet
  • Biote Male Patient Packet

Patient Resources

  • Patient Forms
  • Pay Bill Online
  • Financing
  • Insurance Information
  • Language Assistance & Non-Discrimination

Contact Us

Hours of Operation

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Our Location

The Centre, P.C.

611 E Douglas Rd Suite 108

Mishawaka, IN 46545 US

(574) 968-9100

The Centre, P.C.
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