The Pediatric Surgery - IU Health West Hospital at Riley at IU Health provides the following forms for parents, healthcare providers and personnel. We have also curated relevant resources from other websites and provided links with brief descriptions of the information that is available.
Please complete for you or your child's first visit
You will be asked to review and sign this consent for you or your child to receive care from our physicians and staff
Complete this form to allow family and friends to receive information regarding you or your child's health
Authorization to Release Medical Records
Complete this form when you’d like for you or your child's medical records to be released to another entity
We provide multispecialty care for a number of conditions. Below are links to our related departments.
