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Request an Appointment

Thank you for your interest in Rush University Medical Center. We are happy to assist you in scheduling an appointment with a physician at Rush. Please use this form only if you are a new patient or would like an appointment with a physician at Rush you have not previously seen.

So that we can arrange an appointment with an appropriate physician, you will need to provide us with confidential health information. We will use this information only to help us respond to your request. Before filling out this appointment request, please read our Notice of Privacy Practices for more information on Rush’s commitment to maintaining your privacy.

After you submit this request, a referral coordinator from Rush Physician Referral Services will make every attempt to respond to you by the next business day. You may also speak with a referral coordinator directly on Monday through Friday, 8 a.m. to 5 p.m., by calling (888) 352-RUSH (7874).

Please do not use this form under the following circumstances:

  • If you are a current Rush patient and would like to schedule an appointment with a doctor you have already seen, contact your doctor’s office directly.
  • If you live outside of the United States, please fill out this information request form instead.
  • If you are experiencing a medical emergency, call 911 immediately.


Patient Information

Contact Information

Appointment Information

Additional Information To Expedite Your Request