Mental Health Medication Management

Mental Health Medication Management New Patient Appointments

At Deaconess Riley Children's Services, our highly-trained team of professionals provide care and medication management for children with mental and behavioral health needs such as ADHD, anxiety, depression and autism.

If your child has been diagnosed with any of these issues, and requires medication management, you can schedule a new patient appointment with one of our board certified providers.

Follow the steps below to schedule a new patient appointment.

Appointment Guidelines

New patient appointments for patients age 4-18
If this is an urgent medical issue, please call our office at 812-858-3131
If this is an emergency please go to the nearest emergency room
Please note some insurances may require a referral from your primary care provider
If you are already a Deaconess Riley Medication Management patient and need a follow up appointment, please log into MyChart to schedule

Step 1: Complete the Form Below

First Name:

Last Name:

Date of Birth (mm/dd/yyyy):

Primary Physician:

Parent/Guardian First Name:

Parent/Guardian Last Name:

Parent/Guardian Phone:

Parent/Guardian Email:

Has your child been treated or currently being treated for mental health management?:

YesNo

List Other Physicians Seen:

Has your child been diagnosed with ADHD, anxiety, depression or autism?:

YesNo

If Yes, indicate diagnosis:

Has your child been diagnosed with schizophrenia or bipolar disorder?:

YesNo

If Yes, indicate diagnosis: