Patient Portal

Welcome to the Indiana Neuro-ophthalmology and Center for Balance Patient Portal.
In this section is designed to help you, the patient, as much as possible.

You will find a secure link to our registration software. Click here for the link that will take you to the secure online registration

If you would prefer to bring in your registration information, you may download and print out the pdfs listed below.

Forms are in PDF format.
If you do not have Adobe Reader click here for a free download

If you have any questions, please feel free to contact us. You may reach us by phone at 765.807.7100 or toll free at 877.334.6622. Or you may e-mail us at inocb@mac.com

New Patient Registration Forms

Welcome to INOCB Patient Registration Medical History Fax Privacy Waiver

Vestibular Function Testing Registration

VNG Instructions Dizziness Questionnaire

Patient Portal

Click here for access