Speech Pathology Appointment Request Form

We are happy to schedule Speech Pathology appointments for new and returning patients via this online form. Please complete the below fields and submit. We will contact you within 1 business day to confirm your appointment.

For more information or to make an appointment by phone, please call 847-535-6762 

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Do you have a physician's order for this appointment?*
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We offer a variety of appointment times to best fit our patients' busy schedules. Please call to determine the best appointment time for you.

Rehabilitative Services
Lake Forest
847.535.6520
Grayslake
847.535.8833