Find-a-Doctor Request Form

Call 312.413.9043 or email:

Photo Request & Scheduling

The UI Hospital website Find-a-Doctor database is a tool to help potential patients locate a physician, learn about his or her background and credentials, and to make an online appointment request. To add a new provider profile, please complete submit it.

In order to have a profile added to Find-a-Doc, you need to accept appointments made through the UI Health Call Center.  If you are unable to accept appointments through the Call Center but are interested in doing so, please contact the Call Center for more information at

Note: if having issues seeing the full form below or on a mobile device, click here for a full-screen version of the form.

* Required Fields