Physical And Occupational Therapy Appointment Request

Our physical and occupational therapists offer a wide range of services and programs to meet your needs. Please submit a scheduling request for an in-clinic visit by completing the form below. If you’d prefer a physical therapy video visit, please fill out the form below.

Who are you requesting an appointment for?

  • Best time to be reached?
  • Early Morning (6-8a)
  • Mid-Morning (8a-12p)
  • Afternoon (12-3p)
  • Late Afternoon (3-5p)
  • Evening (5-7p)

What's the patient's date of birth?

What insurance does this patient have?

What insurance does the patient have? *

  • Insurance Provider*
  • Aetna
  • Blue Cross Blue Shield
  • Bright Health Plan
  • Cigna
  • CoreCare/CorVel
  • Coventry Healthcare
  • First Health
  • Great West Healthcare
  • Healthlink
  • HFN
  • Humana
  • Imagine Health
  • Medicare
  • MultiPlan
  • Preferred Network Access (PNA)
  • Preferred Plan PPO
  • Private Healthcare Systems (PHCS)
  • United Healthcare
  • Self Pay
  • I don't see my provider
  • Insurance Plan
  • Advantage HMO
  • Advantage PPO
  • American Medical Security
  • Blue Advantage HMO
  • Blue Advantage HMO
  • Blue Choice Options
  • Blue Choice Preferred PPO (Bronze/Silver/Gold)
  • Blue Choice Select PPO
  • Blue Choice Select Value
  • Blue Cross Community Health Plans
  • Blue Cross Community MMAI (Dual Eligibles)
  • Blue Edge/Blue Edge Select EPO
  • Blue Edge/Blue Edge Select PPO
  • Blue Options EPO
  • Blue Options PPO
  • Blue Precision HMO
  • Blue Precision HMO (Bronze/Silver/Gold)
  • Blue Print EPO
  • Blue Print PPO
  • Blue Security EPO
  • Blue Security PPO
  • C-5
  • Carelink
  • Choice
  • Choice
  • Choice Plus POS
  • Choice POS
  • ChoiceCare
  • Core POS
  • Definity Health
  • Elect Choice
  • EPO
  • EPO
  • EPO
  • EPO
  • EPO
  • EPO
  • Federal Employee
  • Fiserv
  • Golden Rule
  • HMO
  • HMO
  • HMO
  • HMO
  • HMO Illinois
  • Imagine Health
  • Individual & Family Plans Commercial HMO
  • Labor Fund
  • Managed Choice
  • Medicare
  • Medicare Advantage AARP Medicare Complete
  • Medicare Advantage Basic (HMO)
  • Medicare Advantage Basic Plus (HMO-POS)
  • Medicare Advantage Choice Plus PPO
  • Medicare Advantage Choice PPO
  • Medicare Advantage Choice Premier PPO
  • Medicare Advantage Choice Regional PPO
  • Medicare Advantage Elite (HMO-POS)
  • Medicare Advantage Gold Choice PFFS
  • Medicare Advantage Gold Plus HMO
  • Medicare Advantage Gold Plus HMO/POS
  • Medicare Advantage HMO
  • Medicare Advantage HMO-POS
  • Medicare Advantage HMO/PPO
  • Medicare Advantage PPO
  • Medicare Advantage Premier Plus (HMO-POS)
  • Medicare Advantage SNP (Special Needs Plan)
  • Midwest Security Administrators
  • MMAI (Medicare-Medicaid Alignment Initiative)
  • Multi-State EPO
  • Multi-State PPO
  • National
  • Navigate HMO
  • Navigate POS
  • Network
  • Open Access
  • Open Access
  • Open Access
  • Open Choice
  • Options PPO
  • POS
  • POS
  • POS
  • PPO
  • PPO
  • PPO
  • PPO
  • PPO
  • PPO
  • PPO
  • PPO
  • PPO
  • PPO
  • PPO
  • Preferred Network Access (PNA)
  • Premier
  • Premier HMO
  • QPOS
  • Select
  • Select HMO
  • Select Plus HMO
  • Select Plus POS
  • Select POS
  • Signature
  • State of Illinois
  • State of Illinois
  • United Medical Resources
  • Value Choice EPO
  • Value Choice PPO
  • I don't see my plan

Where do you want to schedule your physical and occupational therapy appointment?

  • Location
  • 2124 Ogden Ave., Aurora, IL 60504
  • 651 Illinois Rte 59, Aurora, IL 60504
  • 1130 W. Stearns Road, Bartlett, IL 60103
  • 220 Springfield Drive, Bloomingdale, IL 60108 - Suite 300
  • 149 N. Weber Road, Bolingbrook, IL 60490
  • 536 S. York St., Elmhurst, IL 60126 - Suite 101
  • 854 Roosevelt Road, Glen Ellyn, IL 60137 - Unit E10
  • 430 Pennsylvania Ave., Glen Ellyn, IL 60137 - Suite 240
  • 40 S. Clay St., Hinsdale, IL 60521 - East Building, Suite LL50
  • 1300 Arlington Heights Rd, Itasca, IL 60143 - Suite 100
  • 1504 Essington Rd, Joliet, IL 60435 - Suite B
  • 2100 Glenwood Ave., Joliet, IL 60435 - N/A - 2100
  • 13462 Archer Ave, Lemont, IL 60439
  • 430 Warrenville Rd, Lisle, IL 60532 - Suite 310
  • 1206 E. 9th St., Lockport, IL 60441
  • 1801 S. Highland Ave., Lombard, IL 60148 - Suite L10
  • 1163 E. Ogden Ave., Naperville, IL 60563 - Suite 719
  • 1259 Rickert Drive, Naperville, IL 60540 - Suite 201
  • 1807 S. Washington St., Naperville, IL 60565 - Suite 121
  • 2155 City Gate Lane, Naperville, IL 60563 - Suite 115
  • 4003, S. Route 59, Naperville, 60564, Will County, Illinois, United States of America
  • 640 S. Washington St., Naperville, IL 60540 - Suite 268
  • 751 E. Lincoln Hwy, New Lenox, IL 60451
  • 9618 Southwest Hwy, Oak Lawn, IL 60453
  • 12004 S. Route 59, Plainfield, IL 60585 - Suite 100
  • 16108 S. Route 59, Plainfield, IL 60585 - Suite 132
  • 102 W. Jefferson St., Shorewood, IL 60404 - Unit D
  • 17129 S. Harlem Ave., Tinley Park, IL 60477
  • 17495 S. La Grange Road, Tinley Park, IL 60487 - fN/A
  • 801 N. Cass Ave., Westmont, IL 60559 - Suite 100
  • 815 Pasquinelli Drive, Westmont, IL 60559
  • 303 West Ogden Ave, Westmont, IL 60559
  • 150 E. Willow Ave., Wheaton, IL 60187 - Suite 110
  • 801 Butterfield Road, Wheaton, IL 60189 - Suite 107
  • 7409 Woodridge Drive, Woodridge, IL 60517 - Suite F

What's your preferred date and time for your appointment?

  • Time of day
  • Early Morning (6-8a)
  • Mid-Morning (8a-12p)
  • Afternoon (12-3p)
  • Late Afternoon (3-5p)
  • Evening (5-7p)

If unavailable, what's your second preferred date and time for your appointment?

  • Time of day
  • Early Morning (6-8a)
  • Mid-Morning (8a-12p)
  • Afternoon (12-3p)
  • Late Afternoon (3-5p)
  • Evening (5-7p)

If unavailable, what's your third preferred date and time for your appointment?

  • Time of day
  • Early Morning (6-8a)
  • Mid-Morning (8a-12p)
  • Afternoon (12-3p)
  • Late Afternoon (3-5p)
  • Evening (5-7p)

Do you have an order for therapy from a physician?

Are you seeking a Physical or Occupational Therapy appointment for a work comp injury?