Consumer Portal

Our Consumer Portal lets you fill out registrations, request appointments and prescription renewals -plus pay your bill online. Click here to access the portal.

Aspire Careers

Forms & Information

Please call the appointment number at the top, right of this page before accessing the forms below.
Intake Letter

Adult Information Sheet

Child-Adolescent Information

Client Medical Worksheet

Privacy and Grievance

Privacy Practices

Grievance Statement

Are you thinking about work?

Do you want to learn how work will affect your Social Security Benefits?

If you are interested in learning about the Ticket to Work Program or other Work Incentives, you can attend a FREE Work Incentive Seminar Event (WISE). WISE are community events held by local organizations for beneficiaries to learn more about available work incentives through accessible, informal, learning opportunities.

877-743-8237 (V/TTY)
Space is limited so sign up today!

Please sign up at least five days in advance if you need assistive aids or services.

24 HOUR CRISIS:
1-800-560-4038

To schedule an appointment call:
1-877-574-1254

BILLING INQUIRIES:
1-877-641-8348

Outside Resources

SAMHSA

NAMI Indiana

MHA of Indiana

Crisis Intervention Team