Request an Appointment
This form is not to be
used in case of an emergency. If this is
an emergency, please call 911 or your
local emergency services provider.
request an appointment as a new Rockford
Health System patient, please complete
the form below and one of our Physician
Referral Specialists will contact you
within 24 hours with information.
If you submit your request on a
holiday or during the weekend, we will
respond by the end of the next business
Our regular business hours are
8:30 a.m. to 4:30 p.m. Monday through
Please note that this online
appointment request feature is for
first-time patients only.
If you are already established
with one of our physicians, please
contact the office directly.
with a Physician Referral Specialist,
call (815) 971-DRDR.