Mobile Integrated Health Request

Our MIH Program

Wabash Township’s Mobile Integrated Health (MIH) program helps fill gaps in healthcare access and meet needs of those who require more support and/or additional resources.

If you’re experiencing a need, please fill out the form below.

Mobile Integrated Health Request

A mobile integrated health request form for Wabash Township.

Your Name(Required)

First Last

Your Address

Street Address Address Line 2 City ZIP Code

Your Email Address(Required)

Your Phone(Required)

Preferred Method of Contact(Required)

Best Time to Call You(Required)

Preferred Language(Required)

Brief Description of Your Needs(Required)

Please indicate why you are submitting a health request.

QUICK LINKS

WTFD headquarters

Wabash Township Fire Department
Station #1
2899 Klondike Rd.
West Lafayette, IN 47906
(765) 463-6664

QUICK LINKS

WTFD headquarters

Wabash Township Fire Department
Station #1
2899 Klondike Rd.
West Lafayette, IN 47906
(765) 463-6664

QUICK LINKS

WTFD headquarters

Wabash Township Fire Department
Station #1
2899 Klondike Rd.
West Lafayette, IN 47906
(765) 463-6664