MLK Center Intake Form

The survey will take approximately 5 minutes to complete. If you are new to the MLK Center, please use this form to register for the first time. You must live in one of the neighborhoods we serve: Butler Tarkington, Meridian Kessler, Mapleton Fall Creek, or Crown Hill (Boundaries: North/56th Street | South/29th Street | East Monon/Fall Creek | West/MLK/Michigan Rd) OR have a child that attends IPS school #43 to be eligible for services. If you do not live in one of the neighborhoods listed above, or have a child at IPS school #43, you will not receive a response. If you do live in the area we serve, a wellness coach will contact you to follow-up within two weeks.  If you are already working with us, please contact the front desk or a coach directly at 317-923-4581

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