Refer a Patient

Thank you for entrusting Southern Indiana Orthopedics with your patients.

If you are a patient interested in making an appointment, please click here.

Please fill out the form below, and we will contact your patient directly within 24 hours to schedule an appointment.

To speak with a scheduler, please call our office directly at (812) 376-9353, or for additional resources to refer a patient, please use the button below.

Referring Office Contact Information
If you would like a confirmation of your patient's appointment, please provide your fax number.
Patient Information
Was this injury/condition related to workers' compensation?
Patient Has Completed
Requested Time to Be Seen