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Indiana Orthopedic Institute

Indiana Orthopedic Institute

Dr. R. Michael Meneghini is excited to announce the launch of the Indiana Joint Replacement Institute

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Request an Appointment  • Phone: (317) 620-0232
  • Our Team
    • Surgeons & Providers
    • Support Staff
  • Services
    • Total Hip Replacement
    • Total Knee Replacement
    • Partial Knee Replacement
    • Total Shoulder Replacement
    • Reverse Total Shoulder Replacement
    • Revision Hip, Knee and Shoulder Replacement
    • Outpatient Joint Replacement
    • Computer Assisted Surgery
    • Patient Education
  • Locations
    • Indianapolis Metro
    • Terre Haute, IN
    • Fort Wayne, IN
  • Patient Resources
    • Insurance
    • Medical Forms
    • Our Policies
    • Team Approach
    • Travel for Surgery
    • In the News
    • Contact Us
  • Research & Fellowship
    • Research
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  • Request an Appointment

Medical Forms

Provided on our website are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe icon. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process. Thank you.


Download Forms

  • HIPAA Privacy Notice
  • New Patient Questionnaire
  • Request for Medical Information
  • Authorization to Release Health Information

If you cannot access the forms you can click on the icon below to download the software.

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Request an Appointment Patient Forms Meet Our Team Contact Us

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Indiana Joint Replacement Institute

Indianapolis Metro
14065 Borg Warner Drive, Noblesville, IN 46060

Terre Haute Office at Union Health
1725 North 5th Street, Terre Haute, IN 47804

Fort Wayne
7230 Engle Road, Suite 100, Fort Wayne, IN 46804

Phone: (317) 620-0232 • Fax: (260) 208-9561

Copyright © 2025 Indiana Joint Replacement Institute | Disclaimer

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