Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Indiana Spine Group before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Indiana Spine Group fax number

(317) 564-6831

Spine Surgery

Used for: Referral submission / medical records transfer via fax

Fax destination details

Department
Spine Surgery
Purpose
Referral submission / medical records transfer via fax
Form
Referral Form — Ye-ISG-Spine-Referral-Form.pdf
Address
3051 S. US Highway 41, Terre Haute, IN 47802
Voice phone
(317) 564-6830

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fax this form, the last medical notes, and a photocopy of the front and back of the patient’s insurance card to the ISG fax number: 317-564-6831.

Official form instructions are published as a downloadable file on the organization's website.

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