Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Indiana Spine Group. Before sending anything sensitive, confirm the number and receiving department directly with Indiana Spine Group, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.

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Indiana Spine Group fax number

(317) 564-6831

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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.

Sources and verification

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