Referrals can be taken over the phone or by fax. You can fill out the following form, print it and fax to 847.897.9090. Our staff is eager to help you with any questions or concerns.
Patient Referrals: ext 101 | Clinical Director: ext 102 | Billing Department: ext 103
Fax: 847.897.9090 | Email: firstname.lastname@example.org
U.S. Mail: Forum Health Care Inc. | 900 Skokie Blvd Suite 230 | Northbrook, IL 60062