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Health Services

Request an Appointment with
Edwin Wu, MD, FACC

Please complete the fields below and submit.  Your request will go to a Northwestern Lake Forest Hospital physician’s office manager and you will receive an email or phone call within 1 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 your physician’s office directly or call (847) 535-6171 for assistance in finding a physician.

This 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 personal information will not be shared with any party outside of Northwestern Lake Forest Hospital.

 

Personal Information

*required information
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State*
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How do you prefer we contact you?*
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What type of insurance do you have?

 

Physician Information




Do you have a referral to see this physician?*

 

Appointment Preferences

Which time(s) of the day would you prefer your appointment?*
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Which day(s) of the week would you prefer your appointment?*
(Check all that apply.)







(Maximum 2,000 characters)