Request a Nutrition Appointment

Thank you for requesting a consultation with one of Northwestern Lake Forest Hospital's dietitians or diabetes educators.

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.

Insurance Note: Medicare covers Medical Nutrition Therapy for Diabetes and End-stage Renal Disease. Other diagnoses will be the responsibility of the patient. Commercial insurance may cover additional diagnoses.

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.

 

*required information
*
*
Gender*


*
*
State*
*
*
*
*
How do you prefer we contact you?*


Is this your first visit with a Northwestern Lake Forest Hospital dietitian?*


Who referred you to nutrition counseling?*



What type of insurance do you have?
Preferred Location(s)
(Check all that apply.)*


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




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





*

Learn More About Nutrition

 

Diabetes/Obesity (Metabolic Disorders)

One-on-one nutrition and weight management counseling to manage diabetes and obesity more >

Is Nutrition Counseling for You?

A personalized approach resolves many food-related problems more >

Five Tips for Healthy Holiday Eating

How to watch what you eat and still enjoy the holidays more >

Request a Nutrition Appointment

Request an appointment with one of our dietitians or diabetes educators, and we will respond with an appointment within one business day more >

 
 

We offer a variety of appointment times to best fit our patients' busy schedules. Please call to determine the best appointment time for you.

Nutrition
Lake Forest
847.535.6176