Request a Mammogram Appointment
Thank you for requesting a mammogram at one of Northwestern Lake Forest Hospital's six 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.