Patient Forms

Thank you for trusting Porter-Starke Services with your healthcare needs. Our knowledgeable and compassionate team is dedicated to providing the best service to our community. To begin treatment, please complete and sign the following forms. Our intake specialists will advise you on the best way to return these forms. To view, print, or download, please click on the form title.


New Patient Forms


Ready for help?
Contact us today.

To begin services, call 219.531.3500.

Our team will lead you though an assessment over the phone or in-person collect information about your concern,and help determine your best course of treatment.

For a mental health emergency, call the Crisis Line at 219.476.4523. If you or someone you know is experiencing a mental health crisis, call the 24/7 Crisis Line.

For medical attention or urgent situations, please call 911.

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