LifeSpring Health Systems
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Client Forms

Intake Paperwork – English

Intake Paperwork – en español

School-based Health Services – English

School-based Health Services – en español

Service Application Package

Fee Policy

Patient Privacy Notices 

Title VI Notice to the Public

Title VI/ADA Complaint Form

ADA Policies

Title VI Notificación al Público

Title VI/ADA Formulario de Quejas

2025 Fee Scale

2025 Fee Scale en español

School Providers Referral Form

Transportation Reasonable Modification Policy, Request and Complaint Forms

Title VI Plan

salient
“Improve and sustain the quality of life in our communities by providing comprehensive behavioral health, addiction, primary care, and related services.” Our values are, “It is our privilege to serve, with the highest quality of care, in a professional and fiscally responsible manner.”

LifeSpring Health Systems is committed to HRSA compliance, quality improvement, and transparency of our quality metrics. We have partnered with RegLantern to share our data publicly and together work to continually improve our health center operations and compliance. Please check out our clinical performance outcomes here.
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© 2025 LifeSpring Health Systems.

  • About
    • History and Mission
    • Leadership
    • Locations
    • Privacy Practices
    • Frequently Asked Questions
  • Foundation
    • Donate
    • Boots & Bling Gala
    • Trivia Night
    • LifeSpring Foundation of Indiana Scholarship
    • LifeSpring Foundation Impact Awards
  • News & Events
    • News
    • Press Releases
    • Events
    • Publications
  • Programs & Services
    • Crisis Services
    • Health Information
    • Fee Information
    • Client Forms
    • LifeSpring Primary Care Services
    • School Based Health Services
    • Mental Health First Aid
    • Problem Gambling
    • Homelessness
    • Recovery Services
    • Children and Families Services
    • Residential Programs
    • Veterans Services
    • Project CARE
    • Transportation Services
  • Careers
    • Employment Application
  • Contact
    • Suggestions and Feedback
    • Related Links
  • EAP
    • EAP Supervisors
    • EAP – LifeSpring Health Systems
    • Becoming an EAP Affiliate
    • Training
  • Intake Paperwork
    • Intake Paperwork English
    • Intake Paperwork Spanish
    • School Based Health Services Intake
    • School Based Health Services Intake Spanish
  • Donate
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