Request Appointment

Are you new to Rush Oak Park Hospital and looking for a doctor? Have you been to Rush Oak Park Hospital but need to see a new specialist or primary care doctor? If yes, fill out the form below and we’ll get started on finding a doctor who is right for you.

If you are experiencing a medical emergency, call 911 immediately. And if you are already Rush Oak Park Hospital patient and would like to schedule an appointment with a doctor you have already seen, please contact your doctor’s office directly.

To help guide us in finding you a new doctor, you will need to provide confidential health information. We will use this information only to help us respond to your request. Before filling out this appointment request, please read our Notice of Privacy Practices.

After you submit this request, a referral professional will make every attempt to respond to you by the next business day. You may also speak with a referral professional directly on Monday through Friday, 8 a.m. to 5 p.m. CST, by calling (708) 660-INFO (4636).

Please fix the following

Patient Information



  1. Male   Female   Other
  1.  Yes   No

    Appointment information

  1.  Yes   No
  1.  Yes   No