Medication Therapy Management Clinic

Schedule a Medication Therapy Management Clinic Appointment

Through the Deaconess Medication Therapy Management Clinic (MTM) Clinic, the highly-skilled pharmacists at Deaconess help you get the most out of your medication. They have a deep understanding of prescription and over-the-counter drugs and take the time to review the costs and benefits of each medication you take.

Schedule a new patient appointment online, simply follow the steps below to reserve your time.

Appointment Guidelines

New patient appointments for patients age 18 or older
If this is an urgent medical issue please contact your provider for direction
If this is an emergency please go to the nearest emergency room
Please note our services are billed to your insurance. For more information on cost of your visits, please contact our cost line at 812-450-COST
A referral from your provider will be required for our services; we will help with any necessary referrals once you schedule your appointment below
Bring all your medication bottles and over the counter medications to your first visit

Step 1: Complete the Form Below

First Name:

Last Name:

Date of Birth (mm/dd/yyyy):

Phone Number:

Primary Care Provider:

Have you been admitted to the hospital or seen in the emergency room with in the last 30 days?:

YesNo

Have you recently worn a continuous glucose monitor?:

YesNo

Are you new to a medication that you will have to inject or inhale?:

YesNo

Are you unable to fill your medication prescriptions due to cost?:

YesNo