Request an Appointment

Please Read Before Making an Appointment Request

All fields below marked with an asterisk (*) are required.

1. Select Date and Time

Selected Date:

Select a  minute or larger appointment time range between and

2.Tell us what type of appointment you need scheduled and how to contact you

3. Select Department and/or Facility (optional)

4.Provide Referral and Insurance Information (optional)

5.Add Notes and Review Your Request

Review Appointment Request:

Time Range:
Contact Phone:

You will not be able to edit this appointment once it is submitted. You can cancel the appointment and create a new one in the "Upcoming" appointments section.

Upcoming Appointment

Please keep in mind that any appointment information displayed here has been confirmed. Please mark your calendar. If you want to cancel or change the appointment, please contact the NWR scheduling department at 317/972/9669 or 800-400-9729.

Pending Appointment Request

Your appointment request(s) listed here are waiting for confirmation. Please allow some time to process; you can cancel it/them at any time. If you don’t have any request listed here and you are planning a visit, you can go to the "New Request" section at any time.

Appointment History

All of your past appointment information is listed here. You can search by "Date" to find a specific appointment record. Some appointments are associated with report(s) that you can open to view. Other appointments don’t have reports. You can also see your past appointment status from the "Status" icon.

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