Doctor Checking a Form

Physician Referrals

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Thank You For Your Referral

We look forward to providing your patients with the best in Maternal-Fetal Medicine care. When referring a patient, please complete and send all relevant health records to our office (via fax, or mail) so we are able to better serve your patients and promptly schedule appointments. Our referral forms should outline everything required for accurate and complete service, but do not hesitate to contact our offices for further clarification or questions as needed.

Women's Health Consultants
58 East Walton Street
Chicago, IL 60611
312-997-BABY (2229)
support@whcchicago.com

Please submit your Patient Referrals through one of the following ways:​

  1. Download, complete and mail the Physician’s Referral Form with  accompanying patient forms to: Women’s Health Consultants, 58 East Walton Street, Chicago, IL 60611

  2. Download, complete and fax your physician referral: 773-797-2884