Request an Ultrasound Appointment

Thank you for requesting an ultrasound at one of Northwestern Lake Forest Hospital's five imaging locations.

Please complete the fields below and submit. Your request will go to a scheduler who will contact you by email or phone 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 directly at 847.535.8000.

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.

 

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Do you have a referral from your physician?*


What kind of ultrasound are you scheduling?*













Have you ever had an ultrasound at a Northwestern Lake Forest Hospital Imaging Center before?*


Preferred Location(s)
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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?
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Healthy Women Face Breast Cancer

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Request a Mammogram Appointment

Request a mammogram at one of our six locations, and we will respond with an appointment within one business day more >

Request an Ultrasound Appointment

Request an ultrasound at one of our five locations, and we will respond with an appointment within one business day more >