Specialty Care

Riley Pediatric Ear, Nose & Throat

IU Health North Hospital Medical Office Building
 11725 N. Illinois St., Suite 445
Carmel, IN 46032

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Hours

Open until 4:30 pm

Sun: Closed
Mon: 8 am - 4:30 pm
Tue: 8 am - 4:30 pm
Wed: 8 am - 4:30 pm
Thu: 8 am - 4:30 pm
Fri: Closed
Sat: Closed

*Location also offers Lab, Radiology and Pharmacy

North Hospital/Medical Office Building

Free surface parking is available outside the building.

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Pediatric Ear, Nose & Throat 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.

Authorization to Release Medical Records

Complete this form when you’d like for medical records to be released to another entity.

Consentimiento General (Español)

Se le pedirá que revise y firme este consentimiento para recibir atención de nuestros médicos y personal.

Consentimiento Para Comunicaciones Preferidas (Español)

Complete este formulario para permitir que familiares y amigos puede recibir información sobre su salud.

General Consent (English)

You will be asked to review and sign this consent to receive care from our physicians and staff.

Preferred Communication List (English)

Complete this form to allow family and friends to receive information regarding your health.

  • Your child’s current insurance information
  • Form of identification
  • List of all medications your child is currently taking, including how many times per day and the dose (be sure to include both prescription and over-the-counter medications)
  • List of questions or concerns for your child’s doctor
  • Medical records (e.g. X-rays, lab test results, etc.)—your referring physician may have already sent these records, so be sure to ask your doctor before your child’s visit with us
  • Form of payment for any deductible and/or co-insurance required by your insurance plan

We provide multispecialty care for a number of conditions. Below are links to our related programs & departments.

Please allow extra time when traveling to your appointment. Ongoing construction near our office may cause traffic delays or detours. For more information regarding this construction, please visit the Level Up 31 website.