Request an Appointment: Rehabilitation Services

Rehabilitation Services at Riley at IU Health provides two convenient ways for you to schedule an appointment with our pediatric therapists.

Fill out the Appointment Request form below, and Scheduling Coordinator will contact you by phone to find an appointment that best meets your needs.
Call 317.962.9830 between 8 am - 4:30 pm, Monday - Friday to speak directly with a Scheduling Coordinator.

Thank you for choosing Riley at IU Health as your healthcare provider.

If you have an immediate medical need, please call 911.

Patient First Name*

Patient Middle Inital

Patient Last Name*

Patient Gender

Email Address*

Best Contact Phone Number*

Patient Birth Date*

Is it OK to leave a voicemail at the above number?

You will be contacted before an appointment is offered. If you would like to provide any additional information to the scheduling coordinator, please enter it here:

Select a rehab type

Audiology

Speech

Do you have a referral from your doctor?

Yes