Appointment Scheduling

Commercial Insurance Type


Is this your policy? Are you a dependant on this policy? Please select one of the following

You will be contacted regarding confirmation of this appointment. Please call us if you do not get a confirmation within 48 business hours

We will phone the daytime phone number you have provided in this questionnaire to confirm. If you have a more urgent need, please do not hesitate to call the Ambulatory Care Clinic directly at (773) 976-6775 or the Central Scheduling Office at (773) 975-6714.

Please remember that minors must be accompanied by a legal guardian unless they are emancipated.