The Briarwood Clinic

3645 North Briarwood Lane Suite A      Muncie, Indiana 47304      Ph (765) 289-5520 Fax (765) 289-5840

Click the link below to complete a New Patient Registration and confidentially submit electronically.
*** Before you begin, you will need to take a CLEAR and UP CLOSE picture (crop out background)
of the front and back of ALL insurance cards, and the front of your picture ID. These will be uploaded in the Registration form.
 ~ Please do NOT submit this form until you have called the office to schedule an appointment. Complete forms MUST be received no later than one day prior to your first appointment, otherwise we will call you to reschedule.