Online requests

Please complete the fields below and submit. Your request will go to a Glenview Outpatient Center's physician's office manager and you will receive an email or phone call within one business day during regular business hours, Monday to Friday.

Please note: this appointment request is not for emergencies, same day or next day appointments. If you need an appointment within the next 48 hours, please contact us at 847-724-GLEN (4536) for assistance in finding a physician. Our call center is available five days a week, Monday‒Friday, from 7:30am to 5:30pm.

The appointment request form requires you to answer confidential health information that is needed to complete your request and shall be used only for the purpose of helping you secure an office visit. Your information will be transmitted by e-mail and will not be secured by encryption software. It is possible that this information could be intercepted by non-authorized individuals engaging in illegal Internet monitoring activity. By reading this Notice and providing the required health information, you consent to disclose confidential health information to the Glenview Outpatient Center staff and the physicians at the Center. You also acknowledge the risk of sending your information via e-mail and agree to not hold Northwestern Medical Faculty Foundation, Northwestern Memorial Healthcare, Northwestern Memorial Hospital, Northwestern Lake Forest Hospital, Northwestern Memorial Physicians Group, and any affiliates, employees or agents liable for any damages you may incur as a result of the transmittal of your information.


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