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Schedule a Medication Therapy Management Clinic Appointment

Deaconess Medication Therapy Management ClinicThrough 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

General Layout type: Use automatically generated form layout Use custom form layout Insert field Layout element: For field:
Have you been admitted to the hospital or seen in the emergency room with in the last 30 days?:
Are you currently using a blood thinner?:
Are you using injections with your blood thinner?:
Have you had medication changes since your last visit with a provider or the anticoagulation clinic? :
Do you have any procedures scheduled for which you have been instructed to hold your blood thinner? :
Do you currently have concerns of bleeding?:
Has it been more than 1 month since seen in the anticoagulation clinic? :
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