• Skip to main content
  • Skip to footer
logo

CALL US MAKE AN APPOINTMENT BILL PAY

  • Home
  • About Us
  • Meet the Team
  • Conditions We Treat
  • Services
  • Patient Resources
  • Patient Education
  • Contact

Request an Appointment

Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact Dr. Stephen P. Jacobsen’s staff at Total Shoulder in Carmel, Indiana, by calling us at (317) 705-4392.

After you submit your request below, our appointment scheduler will respond within 48 hours. See below for forms to complete.

Patient Registration Forms

Total Shoulder in Carmel, Indiana, welcomes you to our practice. Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process.

Please be sure to bring all forms with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another provider.

Downloadable Forms:

  • New Patient Registration
  • Health History

Please note:  It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

Footer

Medical stethoscope and computer on table background

PATIENT EDUCATION

From symptoms and diagnosis to treatment and prevention, learn about common acute and chronic shoulder conditions and more in our interactive patient education library.

LEARN MORE 

  • Home
  • About
  • Meet the Team
  • Conditions We Treat
  • Services
  • Patient Resources
  • Testimonials
  • Contact
  • Accessibility Statement
  • HIPAA Privacy Policy
  • Sitemap
Copyright © · Total Shoulder, LLC · All Rights Reserved

Riverview Health Physicians Orthopedics & Sports Medicine
14535 Hazel Dell Parkway, Building A
Carmel, IN 46033
Phone: (317) 705-4392
Fax: (317) 705-4391

iHealthspot Medical Website Design and Medical Marketing by iHealthSpot.com

Orthopedic surgeon Dr. Stephen Jacobsen specializes in shoulder injuries and conditions.